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Wiki is this correct about "AI"?
- Thread starter efuhrmann
- Start date
Gemini18
Expert
cheermom68
Expert
AI
In the Open Door Forum by CMS, they reassured us that this would not happen. The modifier is for informational purposes only.
In the Open Door Forum by CMS, they reassured us that this would not happen. The modifier is for informational purposes only.
cheermom68
Expert
AI modifier
This was directly from CMS, during the FAQ session. That question was asked and they said that the modifier was informational only and addition of or lack of placement of the modifier would not affect payment to the non-admitting physicians. Whether they follow their own directive or not remains to be seen but we can only go by what they say for now.
This was directly from CMS, during the FAQ session. That question was asked and they said that the modifier was informational only and addition of or lack of placement of the modifier would not affect payment to the non-admitting physicians. Whether they follow their own directive or not remains to be seen but we can only go by what they say for now.
Lisa Bledsoe
True Blue
I really wish they had come up with a modifier for the consultant to use, rather than the admitting doctor. Seems it would make more sense, but that's just me 
kevbshields
Guest
I agree. It makes sense that we'd want to identify the consultants on the case, as the Attending is identified on institutional claims anyhow.
You're not alone in being confused on this. My first response was, "this can't be right . . . "
You're not alone in being confused on this. My first response was, "this can't be right . . . "
FTessaBartels
Guest
Oxymoron
Isn't expecting something CMS does to "make sense" a kind of oxymoron?
In my humble opinion, what would "make sense" would be to leave the codes alone and just PAY at the lower rate for initial or subsequent hospital visit, new or established patient. Then there wouldn't be any problems with crosswalks for those payers who are still recognizing the consultation codes (especially when you have other insurance involved).
But then, no one asked me ...
F Tessa Bartels, CPC, CEMC
Isn't expecting something CMS does to "make sense" a kind of oxymoron?
In my humble opinion, what would "make sense" would be to leave the codes alone and just PAY at the lower rate for initial or subsequent hospital visit, new or established patient. Then there wouldn't be any problems with crosswalks for those payers who are still recognizing the consultation codes (especially when you have other insurance involved).
But then, no one asked me ...
F Tessa Bartels, CPC, CEMC