Wiki Modifier 78 = reduced payment??

[rossruth@live.com]

Can someone please direct me to where I can find documentation regarding procedures that are submitted with a -78 modifier are subject to a reduced payment?
I recently received overpayment refund requests for several UMWA payments that we received for services billed with modifier -78 stating "incorrect pricing".

 

[mhstrauss]

Can someone please direct me to where I can find documentation regarding procedures that are submitted with a -78 modifier are subject to a reduced payment?
I recently received overpayment refund requests for several UMWA payments that we received for services billed with modifier -78 stating "incorrect pricing".

Here is a link to a good article that explains the reason that the payment is reduced with modifier 78.

http://www.supercoder.com/articles/...reimbursement-during-global-surgical-periods/

Hope this helps