Modifiers By Practitioner Category - PM

Populate CPT code modifiers in the electronic and paper billing files. The most recently filed data is used in the billing files. Older values will be overwritten. The new modifiers replace the default modifiers on the billing files.

1. ---

   Go to : Avatar PM > System Maintenance > System Definition
2. Load the default CPT modifiers from the most global to the least global.
3. Load the default information that is the same for the most guarantors, practitioner categories, and programs first.
4. Choose the next largest configuration and load that default billing information.
5. Repeat steps 2-4 until the configurations become more specific.
6. In the Financial Class Selection field, select financial classes.
   Result: Guarantors assigned to the selected financial classes will display in the Guarantor ID field.
7. In the Guarantor ID field, select the guarantors.
8. In the Treatment Setting Selection field, select the treatment settings.
   Result: Programs assigned to the selected treatment settings will display in the Program field.
9. In the Program field, select the programs.
10. In the CPT Code field, select the CPT codes.
11. In the Practitioner Category field, select the practitioner categories.
12. In the Modifier field:
    • Enter the modifiers to override those assigned to the service code (Service Codes form, Input Service Code Cross References section).
    • Separate each modifier with a comma (for example, M1,M2,M3,M4).
    • Modifiers are applied to the first service in a service code consolidation (created in the Service Code Consolidation form).
13. Select Print Modifiers to generate a report that contains all information entered in this form.
14. If appropriate, select Delete Modifiers to remove the modifiers.
15. Select Submit.

► Registry Settings

• Enable Duplicate Service Modifiers

• Specify Service Modifier Location/Concatenating Order

► Tables

• system.table_hcfa_1500_modifiers