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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...

Reporting Principal and Interest Amounts When Refunding Previously Recouped Money on the Remittance Advice (RA)


CMS was advised that the current practice of reporting principal and interest amounts for all related claims on the Remittance Advice (RA) as one lump sum amount was creating problems for the provider community since it was not conducive to the proper posting of payments. CR8485 instructs the MACs on how to report refunded principal and interest amounts separately and how to use claim identifiers to indicate the appropriate claim for those amounts. Providers should see these changes appear on RAs created after CR8485 is implemented on July 7, 2014. 

Step-by-step instructions on how refunds with interest on previously recouped money are handled (including step(s) required by providers), as well as an example of reporting for the new Refund PLB Codes, are found in http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1365OTN.pdf

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