Monday, June 28, 2010

AH modifier - Rendered in a CAH By a Clinical Psychologist

AH Modifier

Description Services : Rendered in a CAH By a Clinical Psychologist.
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 clinical psychologist (revenue code 961 or 98X)

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 clinical psychologists.

Payment Implications:
The CAH will receive 115% of 100% of the physician fee schedule for these services.

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