DecisionHealth, DecisionHealth - 2010 Issue 4 (April)

Use modifier QJ to get paid for services rendered to inmates

You can get reimbursed for services provided to prison or jail inmates on Medicare under certain circumstances, according to a recent CMS transmittal. CMS uses data from the Social Security Administration to determine when a patient is behind bars. In most cases, Medicare will deny claims for patients in the big house, but here's a few conditions when the program will provide coverage.

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