decisionhealth Newsletters, decisionhealth - 2009 Issue 9 (September)
3 new modifiers you must use for ‘never event' surgeries
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Article Overview
This article covers a Medicare/CMS claims update about new modifiers tied to surgical never events. It is intended for coders, billers, compliance staff, and revenue cycle professionals who need to understand the scope of the policy change, the related claims-processing guidance, and the organizations and transmittal referenced in the update.
Why This Topic Matters
The article matters because it addresses a payment and reporting change for claims involving surgical errors, which can affect claim submission, follow-up review, and compliance workflows for providers and facilities.
What You Will Learn
- The general purpose of the new modifiers in Medicare claims processing
- How the CMS guidance affects claim handling for surgical never events
- Which organizations and policy documents are referenced in the update
- What types of post-event services are discussed at a high level
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Hospital and facility administrators
Modifiers Discussed
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