Modifiers
The ANSI Standard Modifiers can be modified to change the Fee when the Modifier is used.
The ANSI Standard Modifiers are pre-populated in the System. These Modifiers can be edited to increase or decrease the Fee on a Charge.
- From Libraries on the Left Side Menu, choose Modifiers.
- Select the Modifier link.
- Modifier: The Modifier field can only be modified if it has not been used.
- Description: The Description can be changed to meet your needs.
- Effective and Expiration: These can be used to qualify the Dates that this Modifier can be used.
- Non-Billable: Select this the checkbox to prevent this Modifier from being submitted on a Claim. It will be used for reporting purposes only.
- Rules:
- Select Increase or Decrease to change the fee when the Modifier is used.
- Leave it as Select if the fee should not be changed.
- Procedure Fee by: Enter the percentage to increase or decrease the fee amount.
- Round: The field defaults to Up and will round the fee up.
- Select Down to round the fee down.
- To the nearest: Defaults to $1.00 but can be changed.
- Select Save [F2].
Increase or Decrease a Fee using a Modifier
Use the Modifier Rules above to increase or decrease the fee by a specific percentage.
Example 1: The CPT code has a Modifier 50, and the Modifier Rules are set up for the fee to decrease by 50%.
- A fee decrease is indicated by a red shaded background.
Example 2: The CPT code has a Modifier 51, and the Modifier Rules are set up for the fee to increase by 25%.
- A fee increase is indicated by a green shaded background.
Use a Modifier to Apply a Self Pay Discount
A Custom Modifier can be added to apply a discount to a Self Pay Patient. Apply a Self Pay Discount.