E/M Coding Alert - 2012 Issue 29
Reader Question: You Can Now Use Modifier PD
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Article Overview
This article addresses a Medicare coding question about modifier PD and whether it applies to services furnished by a freestanding facility versus a hospital-owned or hospital-operated entity. It explains the general circumstances covered by the payment-window policy, notes the timing referenced in the article, and summarizes the payment implications discussed for affected services. The piece is relevant for coders, billing staff, and practice administrators who work with Medicare inpatient admission-related billing rules.
Why This Topic Matters
Understanding when modifier PD is relevant helps practices and facilities recognize whether a service falls under a Medicare hospital-related payment window policy and how that may affect claim handling.
What You Will Learn
- The general situation in which modifier PD is discussed
- How the article distinguishes freestanding entities from hospital-owned or hospital-operated entities
- The Medicare policy context referenced by the article
- The broad payment impact described for affected services
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Revenue cycle staff
Modifiers Discussed
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