How to bypass KX modifier for Medicare Advantage plans that do not follow the KX modifier requirement?

Purpose:

To provide instructions for configuring case settings to bypass the KX modifier requirement for specific Medicare Advantage plans, ensuring accurate billing compliance for plans with different documentation rules.

Scope:

This procedure covers:

• Accessing the KX modifier bypass setting in Case Settings
• Understanding when to use this feature (for non-standard Medicare Advantage plans)
• The billing implications of enabling this option

Procedure:

1. Navigate to Case Settings
2. Locate and enable the KX Modifier Bypass checkbox
3. Save changes

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Case settings has a new checkbox to allow for KX modifier bypass.
This is useful for any Medicare Advantage plans that do not follow the KX modifier requirement