tci Part B Insider - 2007 Issue 14

ANESTHESIA: Be Prepared For Your Carrier To Demand Out-Of-Date Modifiers

6 tips for getting paid for MAC claimsDon'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, Kris Simeona from University Hospital in Salt Lake City, UT warned in her -Anesthesia Coding Boot Camp- talk at the 2007 American Association of Professional Coders conference.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 for MAC because...

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