Speech Providers: TM and TL modifiers

January 24, 2012

As you are aware, Chapter III section 109 was changed and put into effect for December 1, 2011. Items that were changed include rates, session (minutes vs. flat rates) and modifiers were added. Currently claims are not processing correctly under these changes. We apologize for the inconvenience this has caused providers. We have been working on getting these changes in the system and at this time we believe the changes will be completed and ready for billing by February 2, 2012. We will reprocess any claims that we do not have to modify. If a claim was billed with TM or TL and denied by us because the changes are not in the system yet we can reprocess those. We cannot reprocess claims that should have been billed with the modifiers and were not. All claims that you have been holding will pay correctly as of February 6, 2012.