leoraha@yahoo.com
Contributor
I noticed that there was a modifier "UH" used on the Medicaid Pricing Schedule. It is defined as "Medicaid level of care 12" . Does anyone know what that mean?
Thanks a bunch
Leorah
Thanks a bunch
Leorah
The UC modifier should be added to the observation claim line if the service is being provided in a discrete observation unit (established in compliance with 10 NYCRR 405.19 (g)). Facilities will be reimbursed an enhanced hourly rate (i.e., 20 percent higher) for providing observation in designated units if they code the UC modifier. However, observation services provided in non-designated units (i.e., "scattered site beds") should be coded using G0378 without the UC modifier.