Health Information Management

Pay-per-view: Identify modifier misuse with case studies

APCs Insider, July 25, 2014

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments, but they're often misapplied.
 
NCCI edits are triggered to prevent improper payments when code pairs that should not be reported together are used.
 
One frequently misused modifier is -59 (distinct procedural service), which is appended to identify services or procedures that are not normally reported together, but are appropriate under the circumstances.
 
Continue reading “Identify modifier misuse with case studies” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the July issue.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs

  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular