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!
Related Products
Most Popular
- Articles
-
- Math can be tricky: TJC corrects ABHR storage requirement
- Air control equals infection control
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Five ways to safeguard your patients' valuables
- The consequences of an incomplete medical record
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- Skills of effective case managers
- Practice the six rights of medication administration
- E-mailed
-
- Air control equals infection control
- OSHA HazCom updates include labeling, SDS requirements
- Plan of Care Supports Documentation of Homebound Status
- Note similarities and differences between HCPCS, CPT® codes
- Note from the instructor: CMS clarifies billing guidelines on proper billing for drugs in a single-dose or single-use vial, including billing for discarded drugs
- Neurological checks for head injuries
- Modifiers and medical necessity
- Follow these tips to properly report bladder catheter codes
- Five ways to safeguard your patients' valuables
- Differentiate between types of wound debridement
- Searched