tci Medicare Compliance & Reimbursement - 2010 Issue 16

Modifiers: Learn the Tricks to Untangling Differences in Modifiers 58, 78, and 79

Don't miss out on extra pay when global period resets. Just because you routinely append modifiers to your claims doesn't mean you're filing correctly and getting the most appropriate pay. Brush up on your modifier know-how with these tips for three of the trickiest choices: modifiers 58, 78, and 79. Selecting between these modifiers can be carrier-specific in some situations, says Jacqui Jones, office manager for Benjamin F. Balme, MD, PC in Klamath Falls, Ore.Remember All Possible Uses for 58 The descriptor for modifier 58 seems self-explanatory: Staged or related procedure by the same physician during the postoperative...

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