tci ED Coding & Reimbursement Alert - 2003 Issue 9

Hot Tips to Melt Your Payer's Cold Shoulder

Avoid Modifier -52 and -53 Denials With These 3 Guidelines You've decided between modifiers -52 and -53, and you've chosen a charging option - but all that critical thinking won't matter if your claim doesn't get through your carrier's door. Follow these field-tested strategies to cinch your reimbursement every time. File a paper claim. Even though you can file electronic claims when appending certain other modifiers - and get paid for the services - payers aren't so generous with modifiers -52 and -53. Because these modifiers denote unusual circumstances, claim-handlers manually review them.  Don't increase or reduce...

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