tci Outpatient Facility Coding Alert - 2016 Issue 8

Coding/Modifiers: Get the Best Out of JW Modifier Coding with Proper Documentation

Make sure to document the “discarded drug” volume in patient records Targeted for July 2016 but delayed until January 1, 2017, claims for discarded Part B drugs or biologicals you did not administer to the patient should be reported with modifier JW. CMS has revised its policy to ensure its uniform use, and thus the propriety of use of this modifier is no longer left to the discretion of the MACs. “The effective date has been delayed because of system implementation issues,” says Sarah Goodman, MBA, CHCAF, CPC-H, CCP, FCS, president of the consulting firm SLG...

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