I just got a new account and took over billing for a chiro. They are sending me some of the recent EOB's and I see the previous outsourced biller is using modifier 59 allot and I know they are doing this on their own and is not by the provider. Procedures like 97110, 98943, 97014, 97010, 97012,97140. Seems like just about all of them they are automatically throwing 59 on except for 98940 and 98941. Is this correct? THe provider's superbills don't show these codes on all of these. Was the old biller doing it correctly? Can we or should we decide if we should change or add a modifier?
I feel I need to be certified in coding in order to know if the correct modifiers are being used and when I should advise to add or change or delete a modifier. Is there something I can study to learn more about Chiro codes and their modifiers?
Thanks!
Don