A $3 million settlement of False Claims Act charges stemming from inappropriate use of the modifiers 25 (Significant, separately identifiable E/M service), 59 (Distinct procedural service) and XU (Unusual non-overlapping service) is a warning to keep an eye on habitual use of these modifiers that allow extra charges during patient encounters.
Andria Jacobs, RN, MS, CEN, CPHQ, chief operating officer of PCG Software Inc. in Las Vegas, comments that “XU is used on a very small number of claims.”
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