tci Part B Insider - 2020 Issue Q4

Modifiers: Boost Modifier Know-How With 12 Handy Tips

Warning: Watch out for modifier 95 slip-ups. Despite the fact that Medicare providers use modifiers on their claims every day, there exists a lot of confusion on these codes’ rules, leading to long-term issues and denials. To perfect your modifier game, it’s smart business to review other providers’ modifier mishaps to circumvent problems in your own practice. That was the word from the webinar “Avoiding Modifier Rejections” presented by Medicare Part B payer CGS Administrators on October 21, 2020. During the session, CGS’ Juan Lumpkin outlined the most important facts to know about commonly used modifiers, and...

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