May 21, 2013

Clarification of Process for Therapy Claim Reopening Request

Effective June 20, 2013, additional documentation must be included with all Reopening request that are being submitted for the purpose of adding a KX modifier to a therapy claim. The documentation may include but is not limited to: treatment plans, history and physicals, progress notes, consult notes and reports. After this date, if the documentation is not included with the reopening request, the claim cannot be processed for an adjustment.

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