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  • Posted in: Anti-Fraud Forum

    ​Here is a link that might shed some light on this practice. https://www.ncbi.nlm.nih.gov/pubmed/26428254 ...

  • Posted in: Anti-Fraud Forum

    ​The concept of doing the biopsy during the gastric bypass procedure is based upon the common condition ...

  • Posted in: Anti-Fraud Forum

    ​ Good Morning,   Have you checked the codes with CMS CCI edits? Does CMS allow with a modifier? ...

  • Posted in: Anti-Fraud Forum

    ​He may be doing that because of NASH. But he or she should document the justification. There may be ...

  • Posted in: Anti-Fraud Forum

    ​Hi, Kristin, As  with all claims,  payment should be made for ONLY those procedures that are medically ...

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