HCPro, JustCoding Outpatient - 2017 Issue 9 (February)
Dig into the details on key 2017 CMS modifiers
February 28th, 2017
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Article Overview
This article explains selected 2017 CMS modifier updates and related outpatient payment reporting issues for hospital and facility billing teams. It covers newly required reporting, changes to existing modifier use, and the elimination of a modifier that had previously created operational confusion, with attention to affected outpatient, laboratory, drug, and imaging services.
Why This Topic Matters
Revenue cycle and coding staff need to understand these modifier changes to support accurate claim reporting, reduce payment errors, and align facility workflows with CMS guidance for 2017.
Article Sections
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Modifier -PN
Introduces a new modifier tied to off-campus outpatient provider-based departments and discusses its role in reporting non-excepted services for payment processing.
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Modifier -L1
Reviews the status of lab-related reporting changes and the shift away from using this modifier under 2017 outpatient payment rules.
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Modifier -JW
Explains 2017 updates affecting drug waste reporting, including timing changes, clarifications from CMS, and operational considerations for claim submission.
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Modifiers -FX and -CT
Covers imaging-related modifier updates for 2017, including film-based x-ray reporting and computed tomography services associated with noncompliant equipment and related payment adjustments.
What You Will Learn
- How CMS framed selected 2017 modifier updates for outpatient hospital claims
- Which general service categories were affected by the modifier changes
- What types of operational and workflow issues the article highlights for facilities
- How imaging-related reporting and payment adjustments were addressed in 2017
Who Should Read This
- Hospital outpatient coders
- Revenue cycle staff
- Facility billing departments
- Compliance teams
- Coding educators
- Physician practice billing staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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