jeannetala
New
I'm in a pickle coding ER Facility for a new employer. The free standing hospital has only been open for 3 months. The coding manager insist that it' unnecessary to use modifiers on the Facility side, because the UB04 claim doesn't include the modifiers. We are only using modifiers on the ER Profee CMS 1500 HCPCS claim. In the past I have used mod -25, -59, -76,-QW, XU, TC, and CS where it applies. Will not having modifiers cause the Facility claims to be denied? The manager is also adamant that Facility pays a lumps sum amount and that we don't get paid for actual procedure. Can someone please explain this log and if modifiers are needed? Thank you.