Per CPT1, modifier -52 is used when a service or procedure is partially reduced or eliminated at the provider's discretion. Such a situation is identified by using the service's usual HCPCS/CPT code and adding modifier -52, signifying that the service is reduced.
This week’s updates include a technology assessment regarding treatment of degenerative joint disease with hyaluronic acid; a final notice of modification and termination of OIG Advisory Opinion 08-17; and more!
This week we will continue our discussion on several Medicare processes involving changes to claims as originally submitted and/or adjudicated. We will review the five-level Medicare appeals process (Appeals Process) and the relationship of that process to claim adjustments (Adjustments) and reopenings (Reopenings).
This week’s updates include a fact sheet about the Accountable Care Organization Investment Model; fact sheets regarding the Medicare Shared Savings Program; and more!
