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Reimbursement Policy Manual
Policy Title:Modifier 52 Reduced ServicesSection:ModifiersSubsection:Policy #:RPM003NoneScope: This policy applies to the following Medical (including Pharmacy/Vision)
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What is modifier 52 fact sheet?
The modifier 52 fact sheet is a document that accompanies a claim when a procedure or service is partially reduced or eliminated at the physician's discretion.
Who is required to file modifier 52 fact sheet?
Healthcare providers who perform a service or procedure that is partially reduced or eliminated are required to file the modifier 52 fact sheet.
How to fill out modifier 52 fact sheet?
To fill out the modifier 52 fact sheet, providers should include details such as the procedure code, the explanation for the reduced service, and the relevant dates.
What is the purpose of modifier 52 fact sheet?
The purpose of the modifier 52 fact sheet is to provide justification and clarity for billing when a service has not been fully completed, ensuring proper reimbursement.
What information must be reported on modifier 52 fact sheet?
The information that must be reported includes the procedure code, reason for modification, details of the service rendered, and any relevant supporting documentation.
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