Modifiers help ensure you receive the appropriate amount of reimbursement for your physical therapy services—if you follow these rules.
There’s nothing scarier than a Medicare audit. But if you avoid these compliance mishaps, you can keep yourself—and your practice—out of the line of fire.
Familiar with modifier 59? Well, you’ll need to fine-tune your billing with the new eval and re-eval CPT codes.
It’s a mad, mad, mad, mad Medicare world, and unfortunately, just about every regulation requires a modifier. If you apply the wrong modifier—or forget one entirely—then your clinic suffers decreased payments or flat-out denials. Even worse, if you amass enough modifier mistakes, you make your practice vulnerable to an audit.