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Does anyone have experience billing these modifiers? I'm reviewing the Michigan Medicaid Manual and it seems they are required but not 100% sure. It appears they are required but some managed medicaid plans dont require them.
7.29 THERAPIES (OCCUPATIONAL, PHYSICAL AND SPEECH-LANGUAGE)Therapy services must be reported using the appropriate procedure code and therapy modifier todistinguish the plan of care under which the service is delivered. In addition, when services arehabilitative, they must be billed with the appropriate modifier that represents the nature of the therapyperformed. Maintenance therapy services should also include the MDHHS designated maintenancemodifier. Therapy services submitted without these modifiers may be denied.
7.29 THERAPIES (OCCUPATIONAL, PHYSICAL AND SPEECH-LANGUAGE)Therapy services must be reported using the appropriate procedure code and therapy modifier todistinguish the plan of care under which the service is delivered. In addition, when services arehabilitative, they must be billed with the appropriate modifier that represents the nature of the therapyperformed. Maintenance therapy services should also include the MDHHS designated maintenancemodifier. Therapy services submitted without these modifiers may be denied.