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insurers to crack down on providers performing unscheduled procedures

insurers to crack down on providers performing unscheduled procedures

Health insurance companies are increasingly pressing doctors for more information when they perform unscheduled, minor procedures such as drawing blood, performing skin biopsies or conducting an electrocardiograms on patients the same day as visits for other reasons. 

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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