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Thread: Modifier 22 - Would like some input on how to get

  1. #1

    Default Modifier 22 - Would like some input on how to get

    AAPC: Back to School
    Would like some input on how to get claims paid the first time when appending modifier 22? How do you get the reports to go with the claim for electronic submission?
    Last edited by ank3t; 10-06-2016 at 04:34 AM.

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Hi Liz - The only system I know of is for Medicare (they have the faxed info page for that). As for other payers, we wait to see what they allow and if it appears they are not allowing for the -22, we appeal. I don't think there's any other way to do it.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007

    Default Modifier 22

    For all our payers except (Medicare) we have to appeal the 22 w/documenation after initial payment. We run a monthly report for all claims w/modifier 22 and then appeal for the additional consideration. Good luck!

  4. #4
    Join Date
    Apr 2007
    North Carolina


    We add an electronic note to block 19 on the claim form. We provide a brief description of what was more complex about the procedure. The majority of the time our carries would request the medical record in writing. Only a couple of times did the explanation in block 19 suffice.

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