How to Fix Medisoft Error 5016

Did you know Medisoft has the ability to add additional modifiers, allowing you to use more than one?

This quick video (2 mins) will show you how to add and/or default modifiers in your claims. This will also show you how to move your column next to procedure codes in Medisoft, to make it more convenient for you to access.

How does this relate to Telehealth?

(The following information was updated on April 6, 2020 after a correction by CMS was published on April 3, 2020)

The following is a list of Telehealth related Modifiers that may be applied to a claim:

• 95 Modifier – Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified healthcare professional and a patient who is located at a distant site from the physician or other qualified healthcare professional.
  (When billing professional claims to Medicare for all telehealth services with dates of services on or after March 6, 2020, and for the duration of the Public Health Emergency (PHE), bill with Place of Service (POS) equal to what it would have been had the service been furnished in-person with modifier 95, indicating that the service rendered was actually performed via telehealth)
• GT Modifier – The GT modifier is used to indicate a service was rendered via synchronous telecommunication. Distant site services billed under CAH method II on institutional claims still require modifier GT.
• GQ Modifier – For Alaska or Hawaii only. Services delivered via asynchronous telecommunications system. This modifier may be submitted with telehealth services. Generally, interactive audio and video communications must be used to permit real-time communication between the distant site physician/practitioner and the Medicare beneficiary

COVID-19 Specific Modifier to Indicate the Waiver of Deductibles, Co-payments and Co-insurance for Medicare Patients

(The following information was added on April 9, 2020 to include information provided by CMS in a Special Edition Newsletter from the Medicare Learning Network dated April 7, 2020)

Providers are to apply modifier CS on applicable claim lines to identify COVID-19 testing-related services that are not subject to cost sharing under the Families First Coronavirus Response Act. Covered services include medical visits that that result in an order for or administration of a COVID-19 test; are related to furnishing or administering such a test or to the evaluation of an individual for purposes of determining the need for such a test. The effective date for modifier CS is for services performed between March 18, 2020 through the end of the Public Health Emergency.

For professional claims, physicians and practitioners who did not initially submit claims with the CS modifier must notify their Medicare Administrative Contractor (MAC) and request to resubmit applicable claims with dates of service on or after 3/18/2020 with the CS modifier to get 100% payment. 

For institutional claims, providers, including hospitals, CAHs, RHCs, and FQHCs, who did not initially submit claims with the CS modifier must resubmit applicable claims submitted on or after 3/18/2020, with the CS modifier to visit lines to get 100% payment.

You can find out more information regarding telehealth on this recent blog post.

Check out the video here!

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