ED Coding and Reimbursement Alert

Modifiers:

This Major Payer Now Requires Modifier SA on E/Ms Performed by NPPs

When your NP, PA, or CNS performs an E/M, you'll need to append modifier SA when billing UHC. Following the rules for billing non-physician practitioners' services can be tricky, and when you add the state scope of practice laws, incident-to regulations, and other complex issues, reporting these visits can become downright confusing. Unfortunately, one payer is making the process even [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.


Other Articles in this issue of

ED Coding and Reimbursement Alert

View All