tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Reader Question: Bolster Your Coding Game With This Multiple Modifier Advice

Question: We have a small practice in a designated health professional shortage area (HPSA). Because our physician on regular duty fell ill, we got an HPSA physician to substitute for his services as a locum physician. That morning, the locum physician performed chemotherapy for the patient. The patient reports to the practice again that evening, and an HPSA physician performed a level-three E/M service. We have a signed advance beneficiary notice (ABN) on file for the patient. Can you provide guidance for what modifiers we can append for multiple services? Georgia Subscriber Answer: You’re going to need several...

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