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.
Setting Up Modifiers on Services
To set up a modifier:
Navigate to:
System Settings → ServicesSelect the service you wish to edit (for example, a Medicare adjustment).
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.
Important:
One modifier = one additional piece of billing information sent alongside the CPT code on either the paper HCFA form or electronic claim file.
Applying Modifiers at the Time of Service
When applying a charge manually:
From the Transaction Modal, you can add or edit modifiers for that specific service.
Simply click into the "Modifiers" box, select the appropriate modifier, and save.
When applying charges via the SOAP Note screen:
The provider can click on the Charges section during the SOAP note entry.
Adjust or add the necessary modifier(s) before submitting the note.
This allows real-time customization of the claim before it is finalized for billing.
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 their case Default Services.
Add the service.
Override the system settings (you will see a warning) and add the appropriate modifier.
This ensures that each time the SOAP note is submitted, the modifier is already attached automatically.
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.