tci Outpatient Facility Coding Alert - 2019 Issue Q3

Modifiers: Gain Auditor Insights on Discontinued Procedure Modifiers

Begin by getting all your documentation in order. When a provider discontinues a procedure prior to the administration of anesthesia, it’s important for you to know that the physician may still be entitled to some compensation. That’s where your training as a coder comes into play. You’ve got to know what modifier is appropriate to append in the right situation. According to the new audit issue posted by Part B Recovery Audit Contractors (RAC) Cotiviti on June 28, reviewers are looking at claims for procedures that are discontinued before anesthesia administration. In black and white: &ldquo...

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