tci Medicare Compliance & Reimbursement - 2018 Issue 18

Modifiers: Test Your Modifier Smarts with These 5 Coding Conundrums

Hint: Documentation is key to utilize modifier 22. The appropriate use of modifiers can make or break your Medicare claim, so if your modifier knowledge hasn’t been updated in a few years, you may be cutting your own pay. Check out this handy Q-and-A for advice on the five most commonly used modifiers. Question 1: Seven years ago, a patient had a lung resection due to cancer and made a full recovery. However, she now requires a bronchoscopy due to a questionable spot on a CT scan that a pulmonologist believes requires further exploration. Because of the unusual...

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