BC Advantage - 2022 Issue 9

Avoiding Risk When Using Assistant Modifiers

Most of us are very aware of the risks that inappropriate bundling modifier usage can cause, but when is the last time we thought about how other modifiers may put us at risk? For example, what about our surgical modifiers when assistance is used? These modifiers vary reimbursement amounts and, when misused, can lead to inappropriate reimbursement. Let's look at three (not all) such modifiers and their compliant use.When a PA, NP, or CNS actively assists the surgeon during a procedure, modifier AS is reported on the assistant's claim.  Not all surgical procedures require the need for...

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