tci Medicare Compliance & Reimbursement - 2007 Issue 19

REIMBURSEMENT: 6 Tips For Getting Paid For MAC Claims

Be prepared for your carrier to demand out-of-date modifiers.Don't take your carrier's anesthesia policies for granted, or you could be lulled into a false sense of security. Different carriers expect different anesthesia modifiers, warned Kris Simeona from University Hospital in Salt Lake City in her "Anesthesia Coding Boot Camp" talk at the 2007 American Association of Professional Coders conference in Seattle.Tip #1: Check with your carrier to make sure it accepts the usual Monitored Anesthesia Care (MAC) modifiers, Simeona urged.When University Hospital's anesthesia practice switched carriers to Noridian in 2006, Simeona received a raft of denials...

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