Payment Analysis by Modifier

With the Payment Analysis by Modifier function, you can print a report that provides a detailed analysis of the payments allocated for a specified month, sorted by modifier. You can print this report based on the actual payment codes posted or based on the CPT codes that had payments allocated to them.

Note: If you are printing this report based off of a Procedure Code List, do not select Summary only. The report was not designed to generate a summary using a Procedure Code List.

Data Field Information
Prompt Response Req Len
Begin with Modifier Type the code you want to start with or leave the text box blank to start with the first code in the table.   6
End with Modifier Type the code you want to end with or leave the text box blank to end with the last code in the table.   6
Summary only If you only want to print a summary, select this check box. If you do NOT select Summary Only, the report will include the individual payment code descriptions and amounts.   1
Month for Report Type the month you want to generate the report for in the format of MM-YYYY.   7
Print with Codes If you did NOT select the Summary Only check box, you can select if you want the table codes to print in addition to the code descriptions. If you select to include the table codes, the column for the deviation amounts will be eliminated in both the monthly and year-to-date sections to allow room for the codes. 1
Payment Codes or CPT If you did NOT select the Summary Only check box, you can select if you want the report sorted and printed for the payment codes posted during the month or for the CPT codes that had payment allocated to them.   1
Print using Procedure Code List If you did NOT select the Summary Only check box, you can select to print this report based on a previously defined Procedure Code List.   20



Sample Report
If summary only was not selected, the report will be sorted by modifier for the specified month and the information that will be included is: the payment description, the number of times each payment was posted and the total amount allocated for each payment. The same figures for the specified month of the previous year are provided for comparison, along with the total dollar amount and, if you aren't including payment codes, the percentage of deviation. The report also reflects current year-to-date figures and previous year-to-date figures along with the total dollar amount and, if you aren't including payment codes, the percentage of deviation. A summary page will print at the end of the report that reflects the totals by modifier(s).

If summary only was selected, a summary report that reflects the totals by modifier(s) for the specified month will be provided, which includes: the modifier, the total number of payments allocated and the total amount allocated. The same figures for the specified month of the previous year are provided for comparison, along with the total dollar amount and percentage of deviation. The report also reflects current year-to-date figures and previous year-to-date figures along with the total dollar amount and percentage of deviation.