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Run: Medicare Therapy KX Modifier Threshold Tracking

Track Medicare therapy charges, flag when the KX modifier is needed, and document the review trail for each episode before a claim is submitted.

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Beneficiary and Episode Details

Beneficiary Identifier (required)

Use your internal patient or account identifier. Do not enter full Medicare ID unless required by policy.

Therapy Discipline (required)

Episode Start Date (required)

Date the therapy episode began for threshold tracking.

Date of Service (required)

Place of Service (required)

Charge and Threshold Tracking

Current Claim Charge Amount (required)

Enter the charge amount for this claim line or encounter.

Cumulative Year-to-Date Therapy Charges (required)

Total Medicare therapy charges accumulated for the beneficiary this calendar year before this claim.

Applicable Annual Threshold Amount (required)

Enter the current threshold amount used by your organization for Medicare therapy tracking.

Threshold Status (required)

Date Threshold Was Exceeded

KX Modifier Decision

Is the KX Modifier Required for This Claim? (required)

Was the KX Modifier Applied?

Medical Necessity Summary

Briefly document the clinical rationale supporting continued therapy and the KX modifier.

Supporting Documentation Available? (required)

Supporting Documentation Types

Claim Review and Audit Trail

Review Status (required)

Exception Reason

Reviewed By (required)

Enter the name or internal identifier of the reviewer.

Review Date (required)

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Email (required)

Your name (optional)

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