Why isn a new capped rental period automatically begun when we bill a KH modifier?
Break in service claims require additional information in order for a new capped rental to begin. In addition to submitting a claim with the KH modifier, it is necessary to indicate the reason a new capped rental is beginning; when the previous medical need ended; and include the medical necessity of the new item. This information may be included in the electronic claim narrative or attached to paper claims (if paper claims may be submitted per the Administration Simplification Compliance Act/ASCA).
