San Francisco Marin Medical Society Blog

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Recovery Audit Contractor Overpayments: Pulmonary Diagnostic Testing and E/M Services

CMA has recently learned that RAC contractor Health Data Institute (HDI) is currently assessing overpayments for evaluation and management services billed without a modifier -25 on the same day as a diagnostic pulmonary study. Affected claims have dates of service of 2009 or 2010.