• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Invalid Modifiers for Medicare Secondary Claims Question

Create Wiki
D

Dani_k_83

Contributor
Messages
13
Location
Fort Wayne, IN
Best answers
0
I need some input to help settle a debate between our billing and coding staff. When we submit a claim with modifier P3 on it to MSP it is rejected due to being an invalid modifier at Medicare. Billing staff says that b/c it is a invalid modifier and we are not changing the code, it can be removed. Along the same lines of the therapy modifiers that we add to the claim to go to MSP. Coders say no way, we bill out for the primary and can't adjust it to be processed at the secondary. Anyone have a comment on this please.
 
Medicare will not allow physical status modifiers and it would have to be changed to a HCPCS anesthesia modifier (ie: AA, AD, G8, G9, QK, QS, QX, QY QZ) when sent to MSP. My place of employment does this and has thus far had no issues.
 
You must log in or register to reply here.
Top