tci Medicare Compliance & Reimbursement - 2016 Issue 10
Industry Note: CMS Wants You to Use JW Modifier
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Article Overview
This industry note covers a CMS change request and related MLN Matters guidance about reporting discarded drug and biological amounts for Medicare Part B claims. It is aimed at providers, coders, and billing staff who need to understand the policy update, the implementation timing, the CMS sources cited, and the broader documentation and claims-submission context.
Why This Topic Matters
The update affects how providers and billing teams handle discarded drug and biological quantities on claims and in the medical record. Understanding the change helps organizations align billing workflows with CMS guidance and avoid confusion around reporting requirements.
What You Will Learn
- What CMS updated in its guidance for discarded drug and biological amounts
- When the policy change was scheduled to take effect
- Which CMS reference materials are cited in connection with the update
- Why the change is relevant to claims submission and documentation workflows
Who Should Read This
- Physicians
- Billing staff
- Medical coders
- Practice managers
- Compliance staff
Modifiers Discussed
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