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Modifier 78 = reduced payment??

  1. Default Modifier 78 = reduced payment??
    Medical Coding Books
    Can someone please direct me to where I can find documentation regarding procedures that are submitted with a -78 modifier are subject to a reduced payment?
    I recently received overpayment refund requests for several UMWA payments that we received for services billed with modifier -78 stating "incorrect pricing".

  2. #2
    Location
    Baton Rouge
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    Quote Originally Posted by rossruth@live.com View Post
    Can someone please direct me to where I can find documentation regarding procedures that are submitted with a -78 modifier are subject to a reduced payment?
    I recently received overpayment refund requests for several UMWA payments that we received for services billed with modifier -78 stating "incorrect pricing".
    Here is a link to a good article that explains the reason that the payment is reduced with modifier 78.

    http://www.supercoder.com/articles/a...gical-periods/

    Hope this helps
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

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