Neurosurgery Coding Alert

Reader Questions:

Use Paper as a Backup for Modifier 22 Claims

Question: Must I always file modifier 22 claims manually? Is there an easier and faster way to submit these claims?

Arkansas Subscriber

Answer: Every modifier 22 (Increased procedural services) claim will require that you submit substantial documentation, but many payers would prefer that you submit the claim electronically and send the docu-mentation separately. You may wish to include a note with the backup documentation that states, "This is backup documentation to support an electronic claim. This is not a duplicate claim." This alerts the payer that you are not trying to submit the same claim twice in an effort to double your payment.

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