Anesthesia Coding Alert
Reader Question:
Use of Modifiers for Medicare
Published on Tue Feb 01, 2000
Question: I understand that Medicare does not allow specific modifiers regarding age, health, etc., to be used. Could denial for any of these cases be appealed if emergency circumstances apply?
Indianapolis Neurosurgical Group
Answer: You are right that Medicare does not allow for these types of modifiers. However, you can try to appeal their decision if you feel that emergency circumstances apply to a particular case. The key is having enough documentation in the patients medical record to support your reasons for appeal.
Other Articles in this issue of
Anesthesia Coding Alert
- Correctly Coding for Post-op Pain Blocks
The reimbursement process for post-op blocks administered to manage the pain that follows a procedure [...] - HCFAs Final Ruling Sanctions Billing for Discontinuous Time
Documenting time will be critical now that the Health Care Financing Administration (HCFA) sanctions billing [...] - Attention to 10 Key Areas Improves Documentation
Complete documentation for anesthesia relies on 10 basic must haves including correct use of modifiers, [...] - News Brief:
Getting Help with Medicare Reimbursement Appeals
The Provider Reimbursement Review Board, an independent panel established by the Medical Group Management Association [...] - Reader Question:
Post-op Pain Control
Question: If general anesthesia is administered and an epidural catheter is placed for post-op pain [...] - Reader Question:
Use of Modifiers for Medicare
Question: I understand that Medicare does not allow specific modifiers regarding age, health, etc., to [...] - Reader Question:
Incomplete Medical Direction
Question: We have five physicians and two Certified Registered Nurse Anesthetists (CRNAs) in our practice [...]
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