Split by Modifier is a claim-division rule in TherapyPM that separates claims based on the modifiers attached to each service.

Modifiers give payers additional information about how, where, or by whom a service was provided.

When this rule is enabled, TherapyPM will create separate claims for services that use different modifiers, ensuring modifier-specific billing and preventing payer rejections caused by mixed modifier data on a single claim.


Where to Find This Setting?

  1. Navigate to Billing > Billing Setup > Billing Settings. 
  2. Under Claims Division Rules, toggle ON the "Split by Modifier" under the Actions column. 


Why This Rule?

Use this when:

  • Different modifiers (e.g., GT, 59, KX) need to be billed separately

  • Payers require modifier-specific claims

  • You want clean segmentation of telehealth vs. in-person vs. special-circumstance services