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Insurers to crack down on patients unscheduled procedures

Insurers to crack down on patients unscheduled procedures

Health insurance companies are increasingly pressing doctors for more information when they perform unscheduled, minor procedures on patients the same day as visits for other reasons, such as to draw blood, perform a skin biopsy or conduct an electrocardiogram. 

Insurers are zeroing in on providers evaluation and management claims that include modifier 25. Providers use evaluation and management codes on claims for assessing or…


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