tci Part B Insider - 2005 Issue 35

Part B Coding Coach: Reduce Your 'Reduced Services' Coding Headaches

Boost your bottom line by knowing when not to apply modifier 52Every time you consider appending modifier 52 (Reduced services) to your claim, you know you could be shrinking your reimbursement. Avoid unnecessary pay cuts by applying the lessons learned in our five examples below.Master Modifier 52 Rule: You should append modifier 52 to codes for procedures that accomplish some result, but don't fully complete the requirements of the procedure's description, says Laureen Jandroep, OTR, CPC, CCS-P, CPC-H, CCS, senior instructor and director with the CRN Institute in Egg Harbor, NJ.Smart: Send in documentation with a cover...

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