Tag Archive | "Modifiers"

Here’s Why the MPFS Should Be at the Top of Your Modifier Checklist

Monday, February 25, 2019

0 Comments

When you think of the Medicare Physician Fee Schedule (MPFS), fees might be the first word that comes to mind. But modifiers should be a close second. Here’s how you can use the MPFS to improve your modifier accuracy for Medicare claims. Start here: To read about the MPFS bilateral indicator and modifier 50, read […]

Continue reading...

Which Modifier Goes First? Get Clued In or Face the Consequences

Tuesday, July 12, 2016

0 Comments

You’ve got a claim with a code that requires modifier 26 (Professional component) and modifier 50 (Bilateral component). Which should you append first? According to J8 Part B MAC WPS, the Multi-Carrier System (MCS) for claims processing has specific requirements. Buck the system and processing delays may be your reward. Put Pricing Modifiers First to […]

Continue reading...

6 Tips Help You Differentiate Distinct and Repeat Procedures

Wednesday, March 14, 2012

0 Comments

Whether to report modifier 59 (Distinct procedural service), 76 (Repeat procedure by same physician) or 77 (Repeat procedure by another physician) can become complicated if are not sure if your physician’s procedures were similar to or exactly the same as other services performed on the same patient on the same day. Here are some tips […]

Continue reading...