HealthDataInsights posts new RAC issue for Part B claims
Recovery Auditor Report, December 10, 2009
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- Facility vs. nonfacility reimbursement (inpatient). Under the physician fee schedule, some procedures have a separate Medicare fee schedule for a physician’s professional services when provided in a facility and a nonfacility. CMS furnishes both fees in the MPFSDB update. Professional fees, when the services are provided in a facility, are applicable to procedures furnished in the facilities.
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