tci Medicare Compliance & Reimbursement - 2017 Issue 17

Know These Coding Rules to Master Your Disaster Claims

You can append modifier CR for more than just natural disasters. In catastrophic situations like Hurricane Harvey, Section 1135 of the Social Security Act authorizes the HHS Secretary to waive or modify certain Medicare, Medicaid, CHIP, and HIPAA requirements. These basics cover the essentials you’ll need to submit claims after disaster strikes. Why: HHS allows these waivers in order to better monitor how payers process claims in these uncertain circumstances, explains Dawn Rogers, coding specialist at Caduceus Inc. in Jersey City, New Jersey. However your coding, and modifier usage, could change when reporting services for patients affected by...

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