Unlocking Complexities of Modifiers: Avoid Modifiers Usage Mistakes

Event Materials (Key Required)

Modifiers are a crucial component of billing and coding that enable you to accurately describe the patient interaction. When sending medical claims to insurance companies, healthcare providers must describe the services and/or procedures used to treat the patient, as well as the reasons why the stated services and procedures were medically necessary. In this webinar, we will review the purpose of modifiers; learn to recognize when modifiers should be applied appropriately, and how to avoid the misuse of modifiers. A patient history and physical, as well as examination, is no longer a driver to select a level of E/M. What is the documentation requirement that will justify an E/M code to be a significant, separately identifiable service in addition to a procedure? In this session, we’ll clarify the latest guidelines and use of modifiers.

Some payers have special modifier requirements, and there are also coding manual standards that call for modifiers. Processing medical claims rapidly is made possible by providing the proper modifiers. Incorrect use of modifiers will inevitably result in lost revenue, denied or rejected claims, and audit notices. Expert Lynn M. Anderanin will discuss modifiers and the different types of modifiers and break down the appropriate use. We will also discuss how the use of modifiers can affect reimbursement and help to avoid claim rejections, denials and audits.

Learning Objectives:

• Understand the latest Medicare and CPT guidelines for modifiers
• Understand Proper use of modifier to communicate with carriers
• Describe coding information to use in everyday practice
• Learn the surgical modifiers and requirements
• Identify CAT I and HCPCS modifiers
• Know the reimbursement differences when modifiers are used
• Review current documentation to determine changes that need to be made
• Learn the NCCI guidelines on the appropriate use of modifiers
• Proper use of modifier 25, especially in the office or outpatient setting
• Be able to apply the correct modifier(s) based on the specific circumstances
• Learn how to properly resolve NCCI edits including a breakdown of 59 and associated X modifiers

Areas Covered in the Session:

• Modifiers from CPT and HCPCS manuals
• E/M only modifiers
• Medicare and CPT guidelines for modifier usage
• Payer specific modifiers requirements
• Modifiers for minor and major surgery
• Modifiers when provider did not perform the surgery
• Appropriate use of modifier 25
• Appropriate use of modifier 59
• Appropriate use of other modifiers
• Learn how modifiers affect reimbursement
• Avoid common modifier errors
• Live Q&A Session

Suggested Attendees:

• Healthcare Executives CEOs, COOs, CFOs
• Physicians
• Non-Physician Providers
• Medical Billers
• Medical Coders
• Auditors
• Qualified Healthcare Professionals
• Compliance Officers
• Consultants
• Claims Adjusters
• Revenue Cycle Specialist
• HIM Professionals
• Clinical Documentation Improvement Specialists
• Utilization Review Specialists
• Case Managers
• Hospital and Facility Administration
• Healthcare Policy Analysts
• Healthcare Business Researchers
• Legislative or Regulatory Advisors

Presenter Biography:

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Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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Purchase Order Form – Click Here to download PO form.

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