Corporate Compliance

Master modifiers to ensure accurate reimbursement

Strategies for Health Care Compliance, January 1, 2010

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Modifiers allow facilities to indicate that a specific circumstance altered a performed service or procedure without changing the procedure’s definition or code, says Kim LeBlanc, MS, RHIA, CPC, coding manager at Lafayette (LA) Health Ventures, Inc.
Coders use modifiers to clarify CPT codes, distinguish separately billable procedures, properly unbundle NCCI ¬edits, prevent denials, and ensure accurate reimbursement.

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