CMS officials have confirmed the failure to recognize the modifier is an error. The ASCA is working closely with CMS to identify carriers experiencing problems and correct the issue. ASCA asks those experiencing denials to fax a copy of the Explanation of Benefits provided by your carrier to ASCA at 703.549.0976.
Contact ASCA Director of State and Reimbursement Policy Marie Edler at medler@ascassociation.org with any questions.
Read the ASCA release on PT modifier rejection.
Read more on coding:
–AAPC Editorials Disagree on Effectiveness, Necessity of ICD-10
–CMS Clarifies KY Modifier Use
–3 Mistakes That Lead to Inappropriate Surgery Center Coding
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.