HCPro, JustCoding Outpatient - 2016 Issue 29 (August)
Q&A: Have the reporting rules for modifier –JW changed?
August 2nd, 2016
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Article Overview
This Q&A reviews Medicare policy changes affecting reporting for discarded drug or biological amounts, with emphasis on the transition to mandatory reporting and related documentation expectations. It is aimed at pharmacy, billing, and revenue integrity professionals who work with infused drugs, single-use vials, and Medicare claims. The article also references CMS implementation guidance and the claims manual update that supports the change.
Why This Topic Matters
The topic affects how providers report discarded medication amounts on claims and how they document wastage in the medical record, which can influence reimbursement accuracy and compliance.
What You Will Learn
- How Medicare policy addresses discarded drug and biological amounts
- What changed in reporting expectations for discarded amounts
- What documentation is discussed in connection with discarded drug reporting
- Which CMS guidance materials are referenced in the update
Who Should Read This
- Pharmacy staff
- Billing and coding professionals
- Revenue integrity teams
- Compliance staff
- Hospital outpatient and infusion center administrators
Modifiers Discussed
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