Wiki Modifiers

[Anita Morris]

Can anyone help? My question is who should be the expert on the application of modifiers to cpt codes (billing, coders, the staff of the department generating the revenue, or other)??
Any help or guidance that you can give is greatly appreciated!!!

Anita Morris
CDM Coordinator
Culpeper Regional Hospital
Culpeper, Virginia

 

[mbort]

all of the above

 

[dmaec]

in our office - the coders code the procedures and dx's - append the correct modifiers - and send the superbill on it's way - sometimes the providers attach some on when they think something is needed (.25 - or .59 depending), coders will verify usage - our billers are familiar enough with codes and modifiers that if they think something "needs" a modifier, or has one that doesn't look right - they'll call (coders) to inquire.

 

[Anita Morris]

Thanks for responding! I appreciate the input. Anita.

 

[jas0426]

all of the above

Agree 100%, it has to be a team effort. After all we are all human, and there are bound to be things that get missed; education from the provider, coder, A/R counselor is essential for things to run smoothly.