Modifier Mismatch

The Modifier Mismatch module is available as a separate plug in module to the basic core CDM product. For pricing, please contact our sales department.

Modifiers are two-character codes that can be used in conjunction with a CPT® Code to further define its intent. For example: RT: Right can be used to denote a treatment performed on the right side of the body.

The Modifier Mismatch module uses Medicare guidelines to check that a charge's modifier represents an acceptable match when compared with the charge's CPT® or HCPCS code. If it does not, then the charge item will appear on the Modifier Mismatch tab in the main window. A description of the current modifier and hints for its use are displayed in the Active Info window, including the reasons why the modifier has been flagged as inappropriate for the current charge item.

• To work with items on the Modifier Mismatch tab
  1. Click on the Modifier Mismatch tab and ensure that the Active Info window is displayed (Tools Active Info >).
  2. Select a charge item.
  3. Review the information on the Active Info Modifier tab.
  4. Right-click on the charge item and choose CPT® Modifiers from the drop down menu. You can now choose to either:
  • Replace the current modifier with one of those suggested.
  • Append one of the suggested modifiers to the current modifier.
  • As you move your mouse over the suggested modifiers in the popup window, the information in the Active Info window is updated to show appropriate hints for their use.
     
  5. Repeat steps 2—4 above until all the charge items have been moved off the Modifier Mismatch tab. [Picture]

See Also

____________________________________________________________________________________________________________________________________ 

© Craneware® 2007

Craneware Inc.
Installation and Training
5770 Hoffner Avenue
Suite 102
Orlando Florida 32822
Telephone: 888 601 4162
Fax: 407 384 9413
E-mail: training@craneware.com
Web http://www.craneware.com