tci Part B Insider - 2016 Issue 17

Physician Notes: Changes to the JW Modifier Put Money Back in the Pocket of Providers

Plus: AMA warns that a TN liability case could lift the limits on awards against physicians. Mark your calendars for July 1, 2016—on this date, the new CMS change request (CR 9603) for the JW modifier (Drug amount discarded/Not administered to any patient) will go into effect regarding Part B drugs and biologicals and how they are submitted to MACs, CMS says in MLN Matters article MM9603, released last week. Formerly, the MACs determined whether or not providers had to append modifier JW to the code to reflect that some of the drug was wasted. In an effort...

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