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Need modifier assistance

  1. #1
    Default Need modifier assistance
    Medical Coding Books
    i work for an outpatient radiology facility where the doctor frequently sends images to another facility to be read. we have always appended the q-6 modifier however we have been notified by cms that we shouyld only append that modifier when a true "locum tenum" is in the facility. should we credential the other dr's or is there another modifier we should be using? i have searched and searched and still am at a loss....
    Amber Gary, CPC

  2. #2
    Why are you billing for the other facility? Are these second opinions?

    I would think if you are doing the film and they are reading, you would only bill the technical component and they would bill the professional component.

    Laura, CPC

  3. #3
    they don't wanna do any of the billing they charge us a flat fee for what they read.
    Amber Gary, CPC

  4. #4
    Then I would think you need to credential the other providers under your tax id# and bill the global fee under them, no modifiers would be necessary.

    Laura, CPC

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