Select Orthopedic Codes Subject to RAC Prepayment Reviews

Among the top 15 CPT codes identified for improper payment include CPT 99205 and 99215 for orthopedics procedures, according to a report from AAOS Now.

Advertisement

These codes will likely be targeted in service-specific prepayment reviews for claims submitted to Jurisdiction 6 Part B for Illinois, Minnesota and Wisconsin, according to the report, by the National Government Services, a Medicare recovery audit contractor. When claims are reviewed, providers will receive an additional documentation request and must submit that documentation within 30 days.

More Articles on Orthopedic Surgery:
Operation Walk USA Provides Free Joint Replacements at 70 Hospitals
Building an ACL Injury Prevention Program: Q&A With Dr. Bert Mandelbaum
51% of Outpatient Knee Surgeries Performed in Freestanding ASCs

At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

Advertisement

Next Up in Uncategorized

Advertisement

Comments are closed.