modifier 95

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Amy Grassi Watson

• December 29, 2020 00:33

I am new to SimplePractice so forgive this question if is a repeat.

I am now doing 100% teletherapy. Is there a setting so that the modifier will be used for every teletherapy service I provide? I would think there would be a way if I have 'telehealth: Video office" as the location on the appointment it would add the 95 modifier to the claim?? It seems like a lot of work to have to go in for every client or add to every appointment?  Thank you. 

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  Ruth

  • December 30, 2020 00:29

  Hi Amy, currently no, there isn't. The most automated way to include Telehealth modifiers is by adding them to your client's file > Edit > Billing and Insurance tab in their Default Service Codes section. If you'd like to see this functionality in a future enhancement, please vote and comment on this feature request: https://simplepractice.uservoice.com/forums/918553-simplepractice-feedback/suggestions/40303309-auto-populate-modifiers-from-service-coding

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  Paul Duke

  • January 11, 2021 21:18

  Amy, you can add the modifier in the client's file so that it autopopulates into the CMS 1500 form.  You just add it as a 'client default service' under the 'billing and insurance' tab of the client's info

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  Christopher Draffkorn

  • January 16, 2021 02:39

  Paul, can you be more specific. there is no option to add a modifier under 'client default service.' 

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  Paul Duke

  • January 16, 2021 05:17
  • Edited

  above is screen shot from the bottom of the 'billing and insurance' page.   You would first need to make sure you have added the service code in your settings.  check the simple practice help to find out how to do that

   

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  Ruth

  • January 20, 2021 21:05

  Hi Christopher, you may need to first enable modifiers for your practice in Settings > Billing & Services > Insurance. Then you can add modifiers, as Paul suggested, to the client's file > Edit > Billing and Insurance, under the Client Default Services section. This guide goes into more detail: https://support.simplepractice.com/hc/en-us/articles/115001617643-How-do-I-add-modifiers-to-my-claims- !

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