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qw modifier

  1. Default qw modifier
    Exam Training Packages
    HI

    Our medicaid claims are getting denied for invalid modifer. We are using the apropriate code that does require a qw. Is anybody else seeing this? Is is correct to remove the qw?

  2. #2
    Default
    Here in Georgia we cannot bill any modifiers to Medicaid. I don't know where you are from. Check into that.

  3. #3
    Location
    New Orleans, La
    Posts
    38
    Default
    Where are you from? In Louisiana we have no MD modifiers. What are you billing?
    Thanks, Tobie

  4. #4
    Location
    Baton Rouge
    Posts
    1,239
    Default
    Quote Originally Posted by smaher82 View Post
    HI

    Our medicaid claims are getting denied for invalid modifer. We are using the apropriate code that does require a qw. Is anybody else seeing this? Is is correct to remove the qw?
    Can you post more info about the service performed and the denial?

    Also, there is an earlier thread that has a link to a CMS transmittal that you may find helpful.
    http://www.aapc.com/memberarea/forum...ead.php?t=4536
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  5. #5
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by smaher82 View Post
    HI

    Our medicaid claims are getting denied for invalid modifer. We are using the apropriate code that does require a qw. Is anybody else seeing this? Is is correct to remove the qw?
    The QW modifier is generally for Medicare claims, not Medicaid. It is to indicate CLIA waived tests. Just don't use it for Medicaid claims and you should be ok.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  6. Smile
    I have used the QW modifier on Medicare claims-not Medicaid.
    Kathy Albert,CPC

  7. #7
    Default
    Should -QW be used on non-Medicare claims?

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