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Use of Modifier 59 to Bypass Medicare's National Correct Coding Initiative

Issued on  | Posted on  | Report number: OEI-03-02-00771

Report Materials

06-E-03-010.02 to CMS - Closed Unimplemented
Closed on 01/02/2024
CMS should ensure that the carriersÆ claims processing systems only pay claims with modifier 59 when the modifier is billed with the correct code.

View in Recommendation Tracker
Report Type
Evaluation
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship
Target Groups
Elderly
Financial Groups
Medicare B

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.