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LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Physician Assistants can Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertifications


According to 'Change Request 7701' Physician Assistants can Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertifications. CR7701 directs Medicare contractors to recognize that, effective with services furnished on or after January 1, 2011, physician assistants can perform the required initial certification and periodic recertifications of a beneficiary’s need for a SNF level of care.

Contractors will reopen and reprocess any claims brought to their attention for Part A SNF services that were mistakenly denied (prior to this update) based on having a physician assistant complete the required SNF level of care certification or recertification. However, contractors will not search claims history to identify these claims.

Reference(s): http://www.cms.gov/MLNMattersArticles/downloads/MM7701.pdf
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