tci Medicare Compliance & Reimbursement - 2013 Issue 14

How to Use Modifiers 76 and 77 to Your Advantage

If you’re one of the practices that the RACs identified as improperly billing duplicate services, the problem could be that you simply don’t understand how to use the repeat procedure modifiers to your advantage. And if you haven’t been targeted by RACs, the following can help ensure that you don’t make this mistake. Modifier 77 Applies for Exact Same Procedure: If two physicians work for the same practice and perform the exact same procedure on the same date, modifier 77 (Repeat procedure or services by another physician or other qualified health care professional) applies to...

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