Reimbursement policy update: Modifier 78

Past system limitations prevented us from reimbursing Modifier 78 in complete alignment with Centers for Medicare & Medicaid Services (CMS). New system updates will now allow AMH Health to closer align with the CMS Medicare Physician Fee Schedule Data Base (MPFSDB).

For claims processed on and after 07/01/2024, you may see a slight adjustment in reimbursement which will reflect this configuration update.

For additional information, please review the Modifier 78 reimbursement policy at https://tinyurl.com/56wbud8v.