by Medical Billing | Dec 29, 2010 | CPT modifiers
How to use Medicare hospice modifiers in detail.
by Medical Billing | Dec 27, 2010 | CPT modifiers
Explanation of Investigation The OIG will review claims with the modifier GY to determine if the modifier is used correctly. The object of the investigation is to determine the appropriate use of the modifier and to determine if Medicare patients are unknowingly...
by Medical Billing | Nov 29, 2010 | CPT modifiers
Repeat Procedures Modifier 76: Denotes a repeat procedure by the same physician. Should be submitted only when a procedure is repeated on the same date of service by the same physician Modifier 77: Denotes a repeat procedure by another physician. Should be submitted...
by Medical Billing | Nov 25, 2010 | CPT modifiers
Modifier 57: Denotes decision for surgery. This modifier will be allowed when appended to an Evaluation and Management code either 1 day prior OR same day as a MAJOR (90 day global) surgical procedure. Please follow CMS guidelines for global days, as listed in the CMS...
by Medical Billing | Nov 16, 2010 | CPT modifiers
Modifier 22: Denotes an unusual procedural service. Should only be submitted on surgical procedure codes along with supporting documentation to justify the unusual service: * If documentation supports sufficient difficulty/complexity to warrant additional payment for...
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