Add Default Modifiers

Adding Default Modifiers
The purpose of this page is to demonstrate how to add default auto-modifiers to CPT codes when submitting claims from Chart Talk

    Starting Point:

  1. Practice Management
  2. Payer
  3. Edit( for existing payers) or ‘Add’ for New payer. More information on creating a new payer can be found here: http://manual.mycharttalk.com/payer/
  • Automatic Modifier Appending gives you the ability to tell Chart Talk to automatically apply a modifier to any CPT code when a claim is going out to a specific insurance company (or payer). For example you can set up a rule to always apply the ‘AT’ modifier to a specific CPT codes whenever you send the claim to Blue Cross Blue Shield. Here are instructions on how to do this. NOTE: The automatic appending of a modifier takes place at the time a visit (SOAP) is saved and completed. The added modifiers will be seen in the Charges and Billing screens only.
  • IMPORTANT: The modifiers do not get appended until you create a charge. The modifier is not included on the visit (SOAP) screen for a date of service. These auto-modifier(s) are added in the background. It is added at the time you create a charge (save and complete) to the insurance company that you have set the auto-modifier for. A default rule can be edited or deleted.

    • Note: Default modifiers are specific to a payer (or insurance company). Clinic users will need to add defaults to each payer to include defaults if using this Chart Talk Feature.

    1. Service Type: Reserved for later us.REQUIRED- Select One. Category has no reference currently, option selected does not matter.
    2. CPT Code: Type in CPT code. Select it from the drop down when it becomes available
    3. Rate/Unit($): Enter in Rate to be billed. ( This can be different or the same as your standard rate. This Rate will override any other rate entered under billing codes. This will now be the rate billed to the payer and show up in Manage Payments for a patient.
    4. Modifier:Select the Modifier(s) that will be automatically included for selected CPT/Service
    5. Default Rates:All saved Defaults will appear here
  • IMPORTANT NOTE: When it comes time to enter CPT/Service(s) into a visit, default modifiers do NOT appear until you ‘save and complete’ a visit and it appears in the Charges Screen.
    Default modifiers will follow through to billing. Default modifiers will NOT appear in the visit, these will be attached in the back ground and appear in the charges and billing screens.
  • IMPORTANT NOTE: If in a circumstance you need to delete modifiers, where default modifiers have been added you can do this is the charges screen or billing screen. More info can be found here on changing and updating modifiers in the charges screen: http://manual.mycharttalk.com/how-to/edit-change-charges-while-in-charges-screen/
    More info can be found here on changing and updating modifiers in the billing screen :http://manual.mycharttalk.com/how-to/charges-post-processing/