Priority Health to Begin Requiring Modifiers for Therapy Services

August 28, 2016
Rick Gawenda

Priority Health has announced they will begin requiring modifiers be used on the claim form for outpatient therapy services in order to receive payment. The effective date for this requirement is

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  1. Hey Rick,

    Was wondering if you could send me some resources for billing insurance carriers for in home therapy. Any assistance is appreciated. Thanks and have a great week.

    Vickie D. Cavitt

    1. There are no special instructions for billing a patient for outpatient therapy in the home except for changing the place of service code on the 1500 claim form.

    1. You would need to check with your insurance carriers regarding the need to use modifiers and if so, which ones.