by Lori | Dec 15, 2010 | CPT modifiers
Modifier/MPFSDB Fact Sheet The Medicare Physician Fee Schedule Database (MPFSDB) is a file that provides a basis of payment under Medicare Part B. It is provided to all carriers nationally to assure consitent claims processing for the Centers for Medicare &...
by Lori | Dec 11, 2010 | CPT modifiers
Informational Only Modifiers The following modifiers are Informational Only and should be placed after all pricing modifiers. Modifier 99 has specific instructions on its own separate fact sheet. AQ Services provided in a Health Professional Shortage Area (HPSA) CB...
by Lori | Dec 7, 2010 | CPT modifiers
Hospice billing overview Services Provided to Hospice Patients Medicare beneficiaries entitled to hospital insurance (Part A) who have terminal illnesses and a life expectancy of six months or less have the option of electing hospice benefits in lieu of standard...
by Lori | Dec 4, 2010 | CPT modifiers
Modifier 58 – Staged/related procedure by the same physician during a postoperative period The following rules apply: * Apply modifier 58 to surgical procedures that were (a) planned or anticipated at the time of the original surgery, (b) more...
by Lori | Dec 2, 2010 | CPT modifiers
Avoiding Duplicate Denials When Billing with Modifier 76 Modifier 76 is defined by the Current Procedural Terminology as “repeat procedure by same physician.” This modifier is appropriate when necessary to report repeat procedures performed on the same...
by Lori | Dec 1, 2010 | CPT modifiers
When Not to Use Modifiers 24, 58, 78, and 79 Providers are not separately reimbursed for providing routine postoperative care during the postoperative period, even if the procedure is reported with a postoperative modifier. Routine postoperative care includes the...
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