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The latest edition of the National Correct Coding Initiative (CCI) Policy Manual features multiple examples of how to correctly report the series of X modifiers – XE, XS, XP and XU – that CMS debuted several years ago.
The arrival of a new machine learning-enabled medical transcription service from a division of online retail giant Amazon is further evidence of the growth of that market — and the reasonable rates for the service might appeal to even small practices. 
Although Medicare prohibits routine waivers of patient copayments, practices can waive a copayment when a patient has a financial hardship or the practice determines the copayment is uncollectible.
Question: A patient was brought into our practice by her family for treatment of a sprained ankle. We were told she is currently receiving the Part A hospice benefit. Do I need to contact the patient’s hospice provider, interdisciplinary group (IDG) or anyone else for billing purposes? Do I need to add anything to the billing? 
Despite CMS’ dithering, X modifiers seem to have picked up some slack from modifier 59 (Distinct procedural service) since being introduced in 2015.


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