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Modifier 27 - CAH Method

  1. #1
    Location
    Seacoast- Dover New Hampshire
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    609
    Default Modifier 27 - CAH Method
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    Pt is seen in clinic in am and then in ER in the afternoon. I am being told to use 27 modifier. We are a CAH Method II, and I cannot find this rule anywhere. These are 2 diff pos with the same tax id.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
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    Quote Originally Posted by kbarron View Post
    Pt is seen in clinic in am and then in ER in the afternoon. I am being told to use 27 modifier. We are a CAH Method II, and I cannot find this rule anywhere. These are 2 diff pos with the same tax id.
    From everything I could find when I "googled" modifier 27, yes you would use a modifier 27 because you are using the same tax id.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Location
    Columbia, MO
    Posts
    12,572
    Default
    the 27 is for facility billing and is used for the second and subsequent facility level on the day regardless of the revenue center. So if you have a clinic (510) and an ER (450) then the second needs a 27, I you have 2 clinic visits the second needs a 27.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Thank you, that clarifies alot!
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  5. #5
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    With that said, when we split our charges that have modifiers, they only belong on the provider portion, not the facility, is this correct?. I can't find the CAH manual for the State of New Hampshire and the former director that had all this is no longer here.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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