Overview
Modifiers in ChiroHD provide additional information to insurance companies about the services being billed. They help clarify details such as:
Whether a service qualifies as a Medicare-covered adjustment.
Whether a second adjustment was intentional on the same day.
Other billing-specific requirements necessary for insurance claim processing.
Properly applying modifiers is crucial to ensure your claims are not rejected or misinterpreted as duplicate charges.
Option #1: Setting Up Modifiers on Services
Navigate to your System Dashboard < System Settings < Services
Select the service you wish to edit.
Review or add the modifier:
Example: For Medicare, an adjustment for CPT Code
98941should have the modifierAT.You can add up to four modifiers on a service if required.
Option #2: Applying Modifiers on Transaction Screen
When applying a charge manually From the New Transaction screen:
Simply click into the + in the Modifiers column and select the appropriate modifier, and save.
Option #3: Applying Modifiers via SOAP Notes Screen
When applying charges via the SOAP Note screen:
The provider can click on the Charges section at the top or the bottom left during the SOAP note entry.
It will bring up the Transaction Screen and the provider can adjust or add the necessary modifier(s) before submitting the note.
Option #4: Setting Up Modifiers as Default Per Patient
If a patient always needs a specific service billed with a modifier (e.g., Medicare patients always needing an AT modifier):
Navigate to the Patient Profile < Cases Tab < Defaults/Patient Rates/Recurring Charges Tab.
Add the Service.
Click to add the modifier (you will see a warning) and add the appropriate modifier.
Where Modifiers Appear
On the claim form (HCFA) or electronic file, the modifier(s) appear next to the CPT code.
They directly link the service to additional information that the insurance company requires for correct processing.
Key Reminders
Modifiers are service-specific: They must match exactly the situation being billed for.
Medicare billing typically requires the
ATmodifier on spinal adjustments.Multiple modifiers (up to four) can be added if multiple rules apply to a service.
Default modifiers can be set per patient, ensuring compliance and reducing manual entry errors.