Medicare Archives

Excluded Service Modifiers Can Make or Break Your Claims

Now that you’ve learned about the difference between modifiers for spinal CMT codes, and those for excluded services, let’s dig a bit more into two critical excluded service modifiers. The GP and GY modifiers may seem unimportant because they are appended to codes that are not covered by Medicare. But misuse or omission of either…

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Examine Medicare Modifier Usage

This colorful, visual reference discusses modifiers and some of the acronyms used and misused in coding. It is offered as a down-to-earth dialogue that is easy to read and makes the information easy to retain. Study it and share it with your team members to provide a better overview of Medicare modifiers in your practice.

Maintenance Care Coding

Coding for maintenance care is different from coding for active care. And there are as many opinions on how it should be done as there are ways to do it. It’s critical to remember that for Medicare maintenance, the rules are different from coding for non-Medicare maintenance care. This short training explores the differences and…

Medicare Modifiers Make All the Difference

Medicare modifiers are possibly the most important component in accurate Medicare billing. Understanding and using the right modifier for each situation will reduce delays in payments and lower the number of denied claims. Modifiers provide context for the story of the patient’s experience in the office and clarify important payment considerations necessary for processing. These…

Commonly Used Modifiers for Chiropractic Medicare Coding

KMC University’s Guide to Medicare Modifiers Reimbursement of a claim by Medicare (and subsequently by secondary payers based on Medicare’s decision) is determined by proper modifier usage. Spinal CMT Codes 98940, 98941, and 98942 must have the proper modifier attached to them to provide Medicare with a clear explanation on whether or not it is…

Medicare Secondary Payer Reference Documents

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. Included here are several documents that relate specifically to the rules of billing and compliance when Medicare is the secondary payer. These tools relate to the elements of how to bill Medicare when they are secondary, your…