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Re: GYN: Business question, modifier 22. From: Bridget Pope (bpope@womenspavilionofsouthms.com) Fri Sep 1 20:43:00 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: One layer uterine closure" Previous message: Dr. Cesar Molina: "One layer uterine closure" We basically can always get reimbursement for the modifier 22. When the charge is entered I automatically drop the claim to paper and attach the supporting documentation. With some payers who have only paid the allowable I have also found their reimbursement polcies and attached it as supporting documentation. We normally get 20% over the allowable, but sometimes it takes more than one try. If the payer suggests that the documentation does not support the use of modifier 22, then have the physician dictate a letter explaining the additional risks and complications and send the claim for medical review At Tue, 29 Aug 2006, Joe wrote: > >Larry: just a reflection on Pap smear payment I posted earlier: we are >all getting the short end of the deal. The critical part is the lack of >organization to fight for us. ACOG worthless in this respect. Joe C > >Larry Glazerman wrote: >> Most of my payers in PA just deny the entire claim whenever they see >> ANY modifier. >> >> Larry >> >> On Aug 28, 2006, at 4:44 PM, D. Ashley Hill wrote: >> >>> Listmembers: >>> >>> Does anyone have a successful method of collecting additional >>> reimbursement for modifier 22 procedures (significantly harder than >>> usual)? I would like to compare notes (of course, we will not be >>> discussing actual reimbursement amounts). Thx. >>> >>> Ashley >>> >>> -- >>> D. Ashley Hill, MD >>> Associate Director >>> Department of Obstetrics and Gynecology >>> Florida Hospital Family Practice Residency >>> Medical Director, Loch Haven Ob/Gyn Group >>> Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando >>> Orlando, Florida >> -- Bridget Pope Coding and Appeals Department Women's Pavilion of South Mississippi Hattiesburg, MS Next message: R. Daniel Braun: "Re: One layer uterine closure" Previous message: Dr. Cesar Molina: "One layer uterine closure"

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