tci Medicare Compliance & Reimbursement - 2009 Issue 3

INDUSTRY NOTES: Here's Help For Your Modifier JW Rejections

Plus: CMS offers quick primer on billing/coding services performed in ambulatory surgical centers. You may not have to waste any time appealing rejected claims that contain modifier JW, according to a recent carrier update. National Government Services, a Part B payer in 25 states, announced on Feb. 3 that its system was inappropriately rejecting claims appended with modifier JW (Drug amount discarded/not administered to any patient). "The JWmodifier was inappropriately hitting our system with a termination date of December 31, 2008," the notice said. "MCS is being updated to remove that termination date. Once the system is corrected...

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