That stinks. You will not use the KX modifier.
You will need to add Occurrence Code 77 to the claim with the dates that you will not get paid for.
And for each visit on the claim that happened before the NOA was processed, you will need to also show the charge in your Non Covered column on the claim.
I hope this helps,
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Kayla Kovar
Sent: Friday, September 30, 2022 2:45 PM
To: billers@list.mnhomecare.org
Subject: NOA
**External Sender**
|
Hi there,
Does anybody know on an NOA when it is late do I need to add something on the final. I am getting denial code 7C981. I know there is KX modifier, but is that only when you have an excuse? Unfortunately we have no excuse. It is just plain
late. Thanks for your help!
Kayla Kovar
New Dimensions Home Health Care
312 N Tower Rd
Fergus Falls, MN 56537
newdimensionshhc.com
(P) 218-739-5856
(F) 218-736-6330