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TheraNest Ideas Portal
Status Future consideration
Categories Billing & Payments
Created by Guest
Created on Feb 24, 2023

Check claim for telehealth modifier

When I submit a claim for a telehealth session, have the claim scrub return an error if a modifier is not attached so I can correct it.
App Type TheraNest App
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  • Andrea Mills
    Reply
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    Jul 25, 2023
    It would be great of the system would automatically reject claims that are being submitted if the service type doesn't have a modifier and the POS is "telehealth". Or, if the POS is "office" and the service type does have a telehealth modifier.
  • Guest
    Reply
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    Feb 22, 2023
    I have had a number of claims denied this year because clients have switched from in person to telehealth at the last minute, and I have forgotten to switch the CPT code to the service with the modifier for telehealth. Is there a way to search for this error when getting ready to submit the claim? I am trying to be more diligent, but I imagine that this will be an ongoing issue, as telehealth appears to be here to stay.