MODIFIERS in healthcare / Basic Medical Billing / Basic RCMS #healthcare #ar #cms #denial #claim

MODIFIERS in healthcare / Basic Medical Billing / Basic RCMS/ What are modifier codes?/ Medical billing Tips CPT Modifiers / Modifier 26, Modifier TC, Modifier LT, Modifier RT, Modifier 24, Modifier 25, Modifier 50, Modifier 51, Modifier 52, Modifier 54, Modifier 57, Modifier 59, Modifier 76, Modifier 77, Modifier 99, Modifier GV, Modifier GW, Modifier 80, Modifier AS, Modifier 62, Modifier XE, Modifier XP, Modifier XS, Modifier XU, Modifier QW, Modifier JW, Modifier 99,Concept of CCI and MUE table.
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MOD : Giving additional information about treatment/procedure to the insurance company to process the claim. )
26 - Professional component (Read Report)
TC - Technical component (Using Equipment)
LT - Left side
RT - Right side
50 - Bilateral
24 - Unrelated E/M code performed during GLOBAL PERIOD or post operating period.
25 - Unrelated E/M code performed ON SAME DAY.
57 - DECISION Making Surgery

51- Multiple Surgery
59- DISTINCT PROCEUDRE ( CCI guidelines says : CORRECT CODING INITIATE: (Combination of procedure code performed or not i.e., YES or NO. ex: 36415 (VENIPUNCTURE=A collection/Draw of Venus blood ), 82565 59 (Lab test )
Note: for Medicare Instead of 59 mod we use , XE,- Separate Encounter, XU-Non overlapping service , XP-Separate Provider, XS-Separate Structure
76- Repeated procedure on same day by same doctor
77- Repeated procedure on same day by diff doctor (@ diff Times) , MUE (Medically Unlikely Unit) Table says: Per MR , We can see diff times at TOS.
GV- Service related to hospice but provider not employee of hospice.GW – Provider related or employee of Hospice but, service not related to Hospice.GA – Waver of liability statement of a file (indicates that an ABN on file allows the provider to bill patient if not covered by Medicare.80 – Assistant Surgeon (if MD/Dr works directly).AS – Assistant at Surgery (if NP/PA/AA/Mid-level providers works as an Assistant for Surgery).62 – Co-surgery (Combine together and get 50-50%).52 – Reduced Services (when a physician performs a bilateral procedure on one side only). 54 – Surgical Care only.91 – Repeat lab services on same day.QW – Described CLIA wave test (used for lab tests).99 – 2 or more than 2 modifiers one CPT.JW – For Medicare Part B drugs claim ( A & Q cpt codes).95 * - Telemedicine service done via audio & videos. Note that MCR & MCD will not recognize 95 mod.

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[barkaths]

Super sir. Your explanation is very nice and you are explaining very clearly and It is really help me

[muhammadahsan]

good work. plz carry on and make a more videos about medical billing

[shiva]

Thank you for sharing the knowledge Pkr

[srihal]

I learned lots about modifiers in coding by this video... Thank you for good explain. Do more sir.

[sanjanag]

You are an amazing inspiration to all of us. Thank you!

[LovetowatcH]

Thanks for the very well explained modifier session please make videos of software also which is used in healthcare like charge posting, payment posting & used in AR-RCM for denial claim

[satvikjukebox]

Need practice videos from payment posting scenarios bro

[zahidsiddique]

Sir your explanation is very good but why not in Urdu ...we can pick better as compare to english ...

[Karmatwins]

We know professional component and Technical component but why we use it when we use it this is not explained just basic explanation this was not expected I'm upset with this try hard next time and try WH type questions on it