Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Hi group, What is the best way to code for the KX modifier to be paid on. We continually get denials. Any suggestions? Ruchin, PT, DPT Atlanta Rehabilitation and Performance Center, Inc. bruchin@... www.atlantarehab.com <http://www.atlantarehab.com/> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2010 Report Share Posted June 5, 2010 , We were told that the " entirety of billing to CMS " was excessively using the KX modifier, so we were getting denied arbitrarily at the end of 2009, they may still be doing that. They, CMS, says you must no appeal. Keivn Kunkel PT, PhD, MLD-CDT RE: KX modifier Hi group, What is the best way to code for the KX modifier to be paid on. We continually get denials. Any suggestions? Ruchin, PT, DPT Atlanta Rehabilitation and Performance Center, Inc. bruchin@... www.atlantarehab.com <http://www.atlantarehab.com/> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2010 Report Share Posted June 7, 2010 Not sure what denial you are receiving, but your claim must have the diagnosis that is on the exception list. We have not had the denial about excessively using the modifier. Our intermediary is Trailblazer and we have been told they only expect a small number of patients to go over the cap. Ruesewald Therapy Billing PO Box 880 , Lake Dallas , TX 75065 fax From: PTManager [mailto:PTManager ] On Behalf Of Kunkel Sent: Saturday, June 05, 2010 10:11 AM To: PTManager Subject: RE: KX modifier , We were told that the " entirety of billing to CMS " was excessively using the KX modifier, so we were getting denied arbitrarily at the end of 2009, they may still be doing that. They, CMS, says you must no appeal. Keivn Kunkel PT, PhD, MLD-CDT RE: KX modifier Hi group, What is the best way to code for the KX modifier to be paid on. We continually get denials. Any suggestions? Ruchin, PT, DPT Atlanta Rehabilitation and Performance Center, Inc. bruchin@... <mailto:bruchin%40atlantarehab.com> www.atlantarehab.com <http://www.atlantarehab.com/> Quote Link to comment Share on other sites More sharing options...
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