An OIG fraud project found that during one month in a single state, there were 23,000 billings for an E/M service with the modifier 25 reported with one of these CPT codes: 11055, 11056, 11057, and 11719, and with HCPCS code G0127 (trimming of dystrophic nails).Why do you think that this billing combination continues to be under scrutiny by CMS?

Answer rating: 100% (QA)

The billing combination of an EM service with modifier 25 reported along with specific CPT codes 110... View the full answer