tci Medicare Compliance & Reimbursement - 2016 Issue 10

Industry Note: CMS Wants You to Use JW Modifier

Mark your calendars for July 1, 2016 — on this date, the new Centers for Medicare & Medicaid Services (CMS) change request (CR 9603) for the JW modifier (Drug amount discarded/Not administered to any patient) will go into effect regarding Part B drugs and biologicals and how they are submitted to MACs, CMS says in MLN Matters article MM9603, released last week. Formerly, the MACs determined whether or not providers had to append modifier JW to the code to reflect that some of the drug was wasted. In an effort to standardize policies, CMS is now requiring everyone to...

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