Advanced Search

Medicare Compliance & Reimbursement

Non-Physician Practitioners:

Append Modifier SA on NPP Claims Now or Risk Denials, One Private Payer Says

Published on Fri Oct 06, 2017

Tip: Not all payers require modifier SA for non-physician practitioners performing an E/M. E/M services are amongst the most common claims in healthcare, remaining the bread-and-butter of many Medicare providers’ businesses. But reporting this basic care just got harder under one private payer. You’ll now need to append modifier SA to the E/M code if a non-physician practitioner performed the [...]
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

Medicare Compliance & Reimbursement

View All