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RHC and Biopsies

Date: Aug 13, 2020

Question:

I work in a large academic hospital with a large volume of RHCs and biopsies. The OIG clarification this year seemed to say that if hemodynamics are fully reported that the RHC could be billed with modifier -59. My physician practice compliance officer says we can bill with the documentation our physicians are completing, and my hospital compliance officer says we are not and is completely removing the charge for the RHC. These RHCs = > 4.5 million in charges per year. What is your opinion?

Question ID : 14320
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