tci Medicare Compliance & Reimbursement - 2011 Issue 13

Modifiers: Avoid These 5 Major Modifier Errors to Keep Your Cash Flowing

Reporting modifier 78 for a staged procedure? Expect denials. When it comes to appending CPT® modifiers to your codes, the rules can be daunting, and Medicare's regulations only compound the confusion. But if you're up to speed on these key modifier billing practices, you'll be raking in deserved pay. Check out the following five tips to ensure that you aren't missing any opportunities. 1. Don't Avoid Modifier 26. If your physician provides an interpretation and report for an x-ray or other radiological service in the treatment of a patient, that's not always just part of his E/M -- in...

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