decisionhealth Newsletters, Part B News - 2009 Issue 10 (October)
CMS: 3 new modifiers you must use for ‘never event' surgeries
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Article Overview
This article covers CMS instructions for reporting specific surgery error scenarios and the related claim-handling process under Medicare. It is aimed at coders, billers, compliance staff, and providers who work with inpatient, outpatient, and surgical claims and need to understand the new reporting approach, affected services, and the CMS transmittal referenced in the update.
Why This Topic Matters
Accurate reporting of these claims affects how Medicare carriers flag, review, and process services tied to surgical errors. The article is relevant to anyone responsible for claim submission, compliance, or reimbursement integrity in surgical settings.
What You Will Learn
- The general CMS reporting framework for surgical error claims
- Which types of claim situations the article addresses
- How the update affects claim handling and follow-up review
- Which CMS source document the article references
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance professionals
- Surgeons and surgical practice administrators
- Hospital coding departments
Modifiers Discussed
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