Proper Use of Modifier 59

Modifier 59 Misconceptions There are many misconceptions about the proper use of Modifier 59. Medicare tracks the use of Modifier 59 and ranks practices based on their use of this modifier to select practices to audit for misuse of Modifier 59. The Medicare National Correct Coding Initiative (NCCI) includes Procedure-to-Procedure (PTP) edits that define when […]

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Physical Therapy Plan of Care Requirements

Plan of Care Requirements The Centers for Medicare & Medicaid Services (CMS) is continuing to focus on lowering the Comprehensive Error Rate Testing (CERT) claims paid error rate and one area of concern is missing physician/non-physician practitioner signature and dates on the certification of the plan of care. After analyzing the CERT data, denial of

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Proper Use of Modifier 59

Physical Therapy Plan of Care Requirements