Master modifiers to ensure accurate reimbursement
APC Payment Insider, 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.
This is an excerpt from a member only article. To read the article in its entirety, please login.
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