Modifier -22 indicates that the procedural work performed by the provider or surgeon was substantially greater than what is typically required. The application of this modifier allows providers to receive additional reimbursement for a procedural service that was especially challenging, time-consuming, or unusual.
Navigating Medicare’s rules for charging for ancillary services, bedside procedures, and supplies is no easy task. Get an expert perspective on how to apply the rules.
CMS issued a waiver on March 13 designed to help hospitals and other healthcare facilities better respond to the surge in demand placed on them by the COVID-19 pandemic. The waiver allows CMS to bypass traditional rules, including Conditions of Participation when necessary, and aims to help organizations move patients through levels of care more quickly to free up needed hospital beds for critically ill COVID-19 patients.
Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, reviews the latest guidance and ICD-10-CM reporting for common novel coronavirus (COVID-19) scenarios such as reporting for patients who present for testing with symptoms of COVID-19.
This week's note from the instructor looks at the timing of the prior authorization program implementation in light of the current COVID-19 public health emergency.
