How To: Apply a Modifier

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Modifiers are two-character descriptors added to a service, or CPT, code, designed to provide additional information about how a service was rendered. Modifiers are generally categorized as one of two types: functional (Level 1) or informational (Level 2). When entering modifiers, it is best to put functional modifiers first, as they often affect the reimbursement rate for services. Claims can include up to four modifiers.

While many modifiers are considered industry standard, not every payer accepts modifiers, and not every modifier is applicable to every service code. Consult your payer contracts or contact Provider Relations for your payers to learn if you should include modifiers with your claims.

In TherapyNotes, modifiers are manually added per billing line item.

Role Required: Practice Biller or Biller for Assigned Patients Only

To apply a modifier to a service:

  • Click Patients > Patient Name > Patient Billing tab
  • Click on the date of service

modifiers.png

  • A dialog with additional details about the date of service appears. The Billing tab should be selected
  • Enter a two-character modifier code in one of the Modifiers fields
Quick Tip: As a general rule, try to keep your most important modifiers in the first two fields. Although claims can include up to four modifiers, some insurance companies only look at the first two.
  • Click the Save Changes button
Have more questions? Submit a request

Comments

  • Avatar
    Alicia Young

    Is there a way to autofill modifiers for certain insurance companies?

  • Avatar
    Jordan

    Alicia,

    Thank you for your suggestion. We value your input and will forward your feedback to management for review. Thank you!

  • Avatar
    Peter Wyngaard

    And also autofill based on clinician (AH, AJ, etc), and clinician-insurance combinations (e.g., HO for supervisory).

  • Avatar
    Jordan

    Peter,

    We plan on updating how modifiers are entered in a future update. If you have any additional questions please contact support at 215-658-4550 or via email at support@therapynotes.com

  • Avatar
    Ryan Scott, PhD

    When is this feature going to be updated? Peter above said this would be added a year ago. I’m not sure why this needs to be done manually for every session. Modifiers are required to be entered for telehealth. So, if my practice does 100 telehealth sessions, we need to manually key that 100 times?

  • Avatar
    Peter Wyngaard

    Agree. This is SERIOUSLY overdue.

  • Avatar
    Peter Wyngaard

    Can we please get an update on auto-filling billing modifiers? For our practice, these are the same for every clinician-payer pair. It's very tedious to manually enter these modifier codes for every appointment-clinician-payer.

  • Avatar
    Rachael

    Peter,

    We understand the need for this feature, however we do not have an ETA at this time. We are currently working on other priorities, but this is something we plan to do in the future. If you have further questions, please contact our Success Team at 215-658-4550 or by email at Support@TherapyNotes.com. Thank you.

  • Avatar
    Jennifer Wardle

    Due to requirements made by our state Medicaid system, modifiers are a must for us and I can not rely on our providers to add the modifiers themselves. I know I can manually enter them in myself but they can be very time consuming, when can we expect auto-filing in modifiers?

  • Avatar
    Ryan Scott, PhD

    Ditto, this is a big issue. What is the ETA of this issue?

  • Avatar
    Peter Wyngaard

    I'll help with the copy and paste this time: "We understand the need for this feature, however we do not have an ETA at this time. We are currently working on other priorities, but this is something we plan to do in the future."

    I spoke with customer support last month. I was told implementing this feature was going to be really complicated. I told them it doesn't need to be. We just need to be able to provide a default modifier code per clinician+payer. I was told a business analyst would give me a call. I was never called.

    I really appreciate other customers raising their voices. I hope TN listens and prioritizes this feature. But they might also just delete our comments.

  • Avatar
    Rachael

    Thank you for your feedback. This feature is currently in planning, however, we do not currently have an ETA. If you have further questions, please contact our Success Team at 215-658-4550 or by email at Support@TherapyNotes.com. Thank you.

    Edited by Rachael