Add or edit modifiers on invoice
Allow me to enter modifiers when creating an invoice.
For example, if two services occur on the same day that can be billed on the same day I have to add modifier 59, but I can't add that to the service code library as it is unethical to include modifier 59 every time I bill that service.

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Erika Broser commented
Is this problem any closer to being fixed?
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Avis Salter Fleming commented
Please fix this! This is a huge inconvenience and hinders progress and productivity!
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Christian Halbert commented
We have got to get rid of all these service codes, go back to one code for one cpt code and not 100 per cpt code because we have to roll all the modifiers into the code.
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Megan Burrell commented
This is a huge problem. Theranest, please make this a priority!
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Melissa Smith commented
I have to create so many service codes with various modifiers to bill. My staff keeps using the wrong service codes and I have to go back through and constantly make corrections. I need the ability to add the modifier to the invoice before submitting the claim. I have actually lost a nurse practioner because of the complicated way we have the service codes. I am begging this to be placed as a high priority. PLEASE
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Daniel Maust commented
We are in desparate need of the ability to add multiple modfiers to CPT codes. As a Medicaid provider in OH we must use separate modifiers for each of the 7 licenses within our practice as well as GT and Telehealth codes. The system now rewuires us to create over 100 CPT codes in thesytem to accomodate those requirements. PLEASE give us the ability to add modifers separatelt from the base CPT code.
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Anna Johnson commented
Allow the ability to edit modifiers, place of service, and rendering provider from Awaiting Submissions - without needing to delete the invoice or change the service type.
For example if some one changes the POS to telehealth, this indicates a service code change due to Theranests settings. This means that sometimes you have to delete the invoice, to chance the service type to telehealth, then recreate the invoice and resubmit to awaiting submissions. The process is cumbersome and could be alleviated if we could just edit modifiers on the awaiting submisisons side.
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Laurie Smith commented
Please, please, please!!! We need the ability to manually add a modifier for each invoice. Supervised Provider appointments need a provider and each payer requires a different modifier.
Please. -
Erika Broser commented
Please update on this issue.
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Allyson Smith commented
Any updates on this??
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Erika Broser commented
AGREED!! The fact that this has been commented on since 2018 and not changed is super disappointing. This is A HUGE problem for our practice. Please consider updating ASAP!
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Erika Broser commented
As much as we love theranest, there is one MAJOR flaw. There are many occasions that we have to edit a modifier and the fact that we cannot do that without creating new service types for every possible scenario is extremely frustrating! Here are some examples:
1. we have QTT providers who require a U6 modifier and we've had to make 2 service types for every cat code to accommodate that.
2. When a client has multiple appt's with different service types in one day, we are required to add a 59 modifier or we don't get paid and there is literally no way to do this without submitting paper claims.
3. We have an insurance company that requires we DO NOT put a modifier on all QTT claims..
PLEASE CONSIDER MAKING MODIFIERS EDITABLE PER CLAIM!!! -
Allyson Smith commented
YES!! There needs to be a way to change a modifier like you can change the appt place of service. For example, the modifier for telehealth is 95 for BCBS but GT for Medicaid. If a client has BCBC primary but secondary is Medicaid, there is not an email way to change the modifier without removing it from claims submission AFTER it's processed the primary to submit to secondary.
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Zar Getz commented
Yes, this would be super helpful. Different insurances want different modifiers. Like sometimes you need GT and sometimes the plan wants 95 for telehealth. It sucks having to have multiple services set up for the same CPT code.
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Allyson Smith commented
It would be great if we could enter a modifier the same way we enter a place of service on an invoice.
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Alicia White commented
YES!!! And to also be able to just modify the CMS form period and be able to adjust which diagnosis codes get assigned to which CPT codes
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Andrea Watts commented
YES!!! This needs to be done vs us having to load 20 versions of the same code, which jams up our screen with options and actually leads to more errors! This should be adjustable when creating the invoice.
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Lacie Guler commented
We submit claims under supervisors and need to be able to add a modifier for these claims.
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Ashton Gambill commented
YES YES YES, I cannot stress how frustrating this restriction is. It is such a headache that these cannot be manually added while creating batch invoices! This would be a gamechanger if this was a feature.
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Brett Jossis commented
This is a huge headache that I don't think TheraNest understands the importance of making this adjustment and the work arounds caused by this issue. As a third party billing company owner, I can attest that virtually all other EHRs allow this, which is why I push for providers to use other systems when I can. You effectively make agencies have the same service types listed multiple types. For example, for the basic 45 minute therapy code, we have to have the service type listed 5 times (90834, 90834+GT, 90834+95, 9083+HO (Medicaid supervision), 90834+HO+95) to account for the multiple modifiers that could be used. It's extremely inefficient and causes way more issues than it prevents. It's the same for all other service types as well.
A better way to do it would be to have the service types separated from the modifiers and allow the modifiers (AND PLACE OF SERVICE TYPE) to be adjusted at the invoice level. It's simple billing practices to do the coding this way.