If you work in therapy billing, you have probably seen Modifier 96 and Modifier 97 on claim forms without being entirely sure when each one applies. That confusion is more common than you might think, and it causes real problems, such as denied claims, audit flags, and benefit exhaustion for patients who still need care. […]
Habilitative Therapy, Medicare Modifiers, Modifier 96, Modifier 97, Rehabilitative Therapy
Effective January 1, 2022, the Centers for Medicare & Medicaid Services (CMS) introduced four new HCPCS modifiers for Medicare claims: XE, XP, XS, and XU. These modifiers provide more specificity around the circumstances of service provided. Using these new modifiers correctly is essential for ensuring accurate reimbursement. We provide an overview of modifiers XE, XP, […]
Medicare Modifiers, Modifier XE, Modifier XP, Modifier XS, Modifier XU