tci Outpatient Facility Coding Alert - 2019 Issue Q3

Policy Changes: Implement This Major Policy Change for Modifier 26, TC Billing

CMS is doing a complete overhaul of DOS billing. Sometimes, policy changes within the coding world may leave you to wonder if the forces of the universe are simply out to get you. That’s how many independent diagnostic testing facility (IDTF) coders are feeling following the updated policy changes on modifiers TC (Technical Component) and 26 (Professional Component) date-of-service (DOS) billing. With the new changes being enforced by the Centers for Medicare and Medicaid Services (CMS), you’ll have to be extra diligent making sure your claims’ DOSs are appropriately dated. Have a look at the new policy...

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