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Practice management for RCM consultants: the leaks, MIPS, and the 90-day playbook The five reimbursement leaks an RCM consultant audits on every ophthalmology and retina engagement are modifier 25 on intravitreal injection days, diagnostic imaging medical necessity, NDC and J-code discipline, contract underpayment on anti-VEGF lines, and E&M downcoding by payer
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