Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 100.2.7

Monitoring of Claims Submitted With the J2 and/or J3

Last amended: 2006Year: 2006Length: 69 wordsOfficial source
100.2.7 - Monitoring of Claims Submitted With the J2 and/or J3 Modifiers (Rev. 866, Issued: 02-17-06, Effective: 07-01-06, Implementation: 07-03-06) As part of their normal data analysis, A/B MACs (B) shall monitor these claims submitted with the J2, “restocking” modifier, or J3, the “furnish as written” modifier, for patterns of abuse and follow the Progressive Corrective Action (PCA) process described in the Program Integrity Manual, Chapter 3, Section 11.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 100.2.7: Monitoring of Claims Submitted With the J2 and/or J3 | Justis AI