Clinical edits updates effective Aug. 1, 2017


In an effort to better align our clinical edits with Medicare and Medicaid, we will be implementing an update to our system on August 1, 2017. These updates will better align our Medicaid plan with Michigan Medicaid guidelines. You may begin to see new edits associated with these changes.

Use our Edits Checker tool to identify the rationale behind these updates.

Modifier 78 update

Also effective August 1, 2017, services coded with modifier 78 will also begin taking an intraoperative percentage reduction when billed in the global period the original or related procedure. See Modifier 78 for more information.