tci Part B Insider - 2014 Issue 36

Modifiers: Follow These Modifier 26 Dos and Don'ts to Keep Claims Flowing

Master your professional component claims with these quick tips Modifiers 26 and TC go together like peanut butter and jelly—most of the time. But if you don’t have a handle on when you should and shouldn’t append modifier 26 (Professional component) to your physician’s claims, you could find your claims denied or delayed. Consider the following four Dos and Don’ts to perfect your modifier 26 coding knowledge. DO: If your provider performed only the interpretation and report for a procedure or service, such as an x-ray, you should bill the service by attaching modifier...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Part B Insider +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!