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San Francisco Marin Medical Society Blog

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Recovery Audit Contractor Overpayments: Pulmonary Diagnostic Testing and E/M Services

CMA has recently learned that RAC contractor Health Data Institute (HDI) is currently assessing overpayments for evaluation and management services billed without a modifier -25 on the same day as a diagnostic pulmonary study. Affected claims have dates of service of 2009 or 2010.

What Health Law Changes Will Be Evident In 2013

2013 will see some of the many significant changes brought on by the Affordable Care Act, including easy-to-read plan summaries and caps on flexible spending accounts. The ability of health insurers to place limits on annual spending is also on its way out, while earlier reforms such as adding adult children to their parents' plans offer new options to consumers.

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