Accuracy is paramount for providers when reporting CMS’ new modifiers for 2016

Why This Topic Matters

The article matters because these CMS changes affect reporting workflows, claim accuracy, compliance monitoring, and potential future payment policy across multiple service lines and settings. Providers need to understand the general nature of the new requirements so they can evaluate systems, staffing, and departmental processes before implementation.

Article Sections

1. Modifier -CT

   Introduces one of the new CMS modifiers effective in 2016 and discusses the provider workflow issues associated with identifying when it may apply. The section focuses on implementation planning, equipment assessment, and broader reporting considerations.

2. Modifier -CP

   Covers another 2016 CMS modifier tied to a specific outpatient service category and separate-claim reporting. The section also addresses data collection, operational challenges, and provider preparation for reporting changes.

3. Modifier -PO

   Explains the modifier that became mandatory in 2016 for certain off-campus provider-based outpatient department services. The section discusses location-based reporting, workflow options, and compliance planning.