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Wiki Anesthesia billing, QS modifier

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ambaker

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Hello, I am having an issue with Florida Medicaid/Managed Medicaid plans not covering ASA codes being billed with QK, QS. The CRNA claims are being paid with QS alone, because Florida Medicaid does not allow CRNA modifiers billed. When we bill the MD medically directing with QK QS, they are denying the QS as invalid. Looking for feedback on if the MD medically directing has to be billed with QS also if he did not perform the MAC? Any feedback is greatly appreciated.
 
I would need to see the op note and how it was coded in order to help you.

According to the Florida Medicaid Anesthesia Policy, they require QK and QS be on claims when appropriate, so it may be something else.
 
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