As the industry is is feeling the wave of CMS regulatory mandates, an increase in the utilization of various new modifiers to define CDS adherence (modifiers MA thru MH), patient relationsip codes (X1 thru X5 modifiers), NEMA non-XR-29 compliance (CT-modifier) in addition to the commonly used billing modifiers (ie: 26-PC, 59, Q6- locum tenens-d
istinct procedural service, LT/RT, etc) have surfaced. I am looking to understand if any other billing entities have encountered or are concerned about CMS claims limited to accepting only four modifiers per charge line becoming a problem? If so, has anyone considered a sequence of modifiers to apply to a claim based on level of importance to best represent a clean claim to avoid denials that could in the future arise due to the four modifier limit on CMS claims?------------------------------
Gregory Wertz MS
Director of Industry Research and Relations
MBMS, LLC
State College PA
(814) 203-0088
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