tci Medicare Compliance & Reimbursement - 2024 Issue Q1

Part B Coding Coach: Strengthen Your Modifier QW Savvy With These Steps

Don’t forget to check the CLIA list when submitting a new lab test — every time. While some coding modifiers are self-explanatory, others are more nuanced and can be confusing. And for many coders, modifier QW (CLIA waived test) poses many challenges on the correct usage. To get a handle on the best ways to ensure you’re reporting modifier QW properly, check out these two times you need to use it, and two times you should leave it off your claim. 1. Do Use QW When Your Lab Is CLIA-Waived If you’re reporting a code for...

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