tci Part B Insider - 2015 Issue 15

Modifiers: This MAC Provides 3 Quick Modifier Tips for Optimal Claim Approval Rates

Hint: More than four modifiers? Modifier 99 could be your friend. You might not be able to imagine a scenario when you’d have to use more than four modifiers on a single claim line—but if it does happen, you should know what to do, or you could face denials. That’s the word from the “Frequently Used Modifiers” teleconference sponsored by Part B MAC NGS Medicare on April 23, during which claims representatives shared do’s and don’ts about several modifiers that Medicare accepts. Consider these three modifiers for your next claims. What’s Modifier...

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