by Medical Billing | Oct 18, 2016 | CPT modifiers
The Customary Charge The customary charge is the amount that best represents the actual charges made for a given medical service or by other persons who supply other medical and health services to the general public. Therefore, obtain information on the customary...
by Medical Billing | Oct 14, 2016 | CPT modifiers
There are two criteria in the Act that must be considered in determining the reasonable charge for a service. They are: • The customary charges for similar services generally made by the physician or other person furnishing such services; and • The prevailing charges...
by Medical Billing | Oct 10, 2016 | CPT modifiers
Modifier KX The KX modifier is a multipurpose, informational modifier and can be used to identify services for transgender, ambiguous genitalia, and hermaphrodite beneficiaries in addition to its other existing uses. Physicians and non-physician practitioners should...
by Medical Billing | Oct 6, 2016 | CPT modifiers
Modifiers provide a means to report or indicate a service or procedure that has been performed has been altered can be altered by a specific circumstance without changing the procedure code. Modifiers are used to increase accuracy in compensation, coding consistency,...
by Medical Billing | Oct 2, 2016 | CPT modifiers
GA Waiver of Liability Statement Issued, as Required by Payer Policy ABN required; beneficiary liable To signify a line item is linked to the mandatory use of an ABN when charges both related to and not related to an ABN must be submitted on the same claim Line...
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