Monday, June 21, 2010

AE modifier - Services Rendered in a CAH By a Nutrition Professional

AE Modifier

Description :
Services Rendered in a CAH By a Nutrition Professional /Registered Dietician
Required for Claims : Critical Access Hospitals (CAHs) Electing the Optional Payment Method (Method II)
Type of Bill: 85X

Coding Guidelines : Applies to services rendered by a nutrition professional or registered dietician.

General Guidelines : This modifier should be used only for critical access hospitals who elect the Method 2 outpatient payment methodology (All-inclusive rate) when the professional services are performed by a nutrition professional or registered dietician.

Payment Implications :
The CAH will receive 115% of 85% of the physician fee schedule for these services.

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