Excessive use of the KX modifier

First Coast Service Options Inc. (FCSO’s) performed analysis on the use of the KX modifier. Data indicates a pattern where some providers are submitting the KX modifier prior to the beneficiary’s therapy cap being reached. For the first month of calendar year 2012,...

What is pre – operative visit – common questions

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...