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medicare modifiers

  1. K

    Wiki HELP! Medicare G Modifiers: When to use which one?!

    Hello, I work in a public health agency and our contract with Medicare is as a immunization roster biller only (we can only bill/receive payment for Influenza and Pneumococcal vaccines). Since we are a public health agency, we do not turn away a patient with Medicare if they want something other...
  2. A

    Wiki Modifier 55 payment reduction

    Does anyone know what Medicare pays when you use a modifier 55? I've searched everywhere. I know it's discounted due to only assuming post op care but trying to find out how much. Thank you!
  3. J

    Wiki AI Modifier Applies to...?

    Does the AI modifier rule only apply to Medicare and Medicaid if my doctor is the admitting physician or all Medicare/Medicaid replacement plans? Thanks! Ruthie :)
    • Journey13
    • Thread
    • ai modifier hospital admit modifier medicare modifiers
    • Replies: 4
    • Forum: E/M
  4. J

    Wiki ABN/modifiers/moderate sedation

    I understand the following to be a question to and response from the AMA about time in moderate sedation: _______________________________________________________________________________________________________________________ Question: Is it appropriate to report the moderate (conscious)...
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