tci Part B Insider - 2007 Issue 11

MODIFIERS: Are You Using Basic Modifiers Correctly? Time To Double-Check

Billing and rendering provider must be in the same groupYou may think you know your ABCs when it comes to billing and coding compliance, but one carrier is preparing to give you a spelling test.Cahaba GBA imposed a new set of -audit trail- edits starting March 1. They look to see if providers are following basic compliance on several billing and coding issues, including:- Use of LC/LD/RC modifiers for coronary procedures. If you bill for a coronary procedure without one of these coronary artery modifiers, you may face a denial. -RC- stands for right coronary artery, -LC- stands...

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