kimberagame
Contributor
Hello all!
I work for a family medicine clinic. We're frequently billing x-rays with both the technical and professional component. But sometimes we send them for overreads, in which case we only bill the technical component. We've never adjusted down our price when billing with modifier TC, believing that the modifier will automatically trigger the payer to adjust the price as appropriate.
We're in the process of switching EMRs, and need to give the new EMR company our fee schedule to populate the program. Any charge that could have a modifier that will change the price of a service needs to be listed on the fee schedule both without the modifier at the normal price, and with the modifier at the adjusted price. I was told to be sure to include modifier TC for our x-rays. Should we be sending out our claims with a reduced price for x-rays that have modifier TC?
Thanks for any input!
I work for a family medicine clinic. We're frequently billing x-rays with both the technical and professional component. But sometimes we send them for overreads, in which case we only bill the technical component. We've never adjusted down our price when billing with modifier TC, believing that the modifier will automatically trigger the payer to adjust the price as appropriate.
We're in the process of switching EMRs, and need to give the new EMR company our fee schedule to populate the program. Any charge that could have a modifier that will change the price of a service needs to be listed on the fee schedule both without the modifier at the normal price, and with the modifier at the adjusted price. I was told to be sure to include modifier TC for our x-rays. Should we be sending out our claims with a reduced price for x-rays that have modifier TC?
Thanks for any input!