by Lori | Jan 3, 2011 | CPT modifiers
When Do I Use Modifier – 59? Modifier -59 – For Distinct Procedural Service Key Points to Remember: 1. When using this modifier, Medical Documentation is vital and essential to support medical necessity. This must be well-documented on...
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 Lori | Dec 20, 2010 | CPT modifiers
Pre-op visits: True or False? Are the following statements true or false? • The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules. • The surgeon can never be paid to do a pre-op visit if s/he is going...
by Lori | Dec 19, 2010 | CPT modifiers
CPT G0430 & G0430 QW G0430 – Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure This HCPCS code must be used when reporting any qualitative, non-chromatographic, multiple drug class assays. The code is reported only...
by Lori | Dec 16, 2010 | CPT modifiers
CMS Guidance on Qualitative Drug Testing March 25, 2010 On March 19, the Centers for Medicare and Medicaid Services (CMS) issued Transmittal 653, Change Request 6852, providing special instructions for billing Qualitative drug tests using the following specific HCPCS...
Recent Comments