tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Modifiers: Bolster Repeat Procedure Coding With This Expert Insight

Plus: Modifiers will help you code for repeat testing, too. Occasionally, it’s necessary to perform a procedure more than once or require a patient to be tested again if the results are inconclusive. For this kind of coding situation, the use of a modifier can have a profound effect on both your bottom line and compliance — even if the modifier you use is an informational modifier and not a pricing modifier. In fact, “the non-use, misuse, and overuse of any kind of modifier can have financial implications,” notes Jennifer Swindle, VP of Quality and Service...

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