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Modifiers - Know When and Why to Use Them


About this program

Back by popular demand – join us for this rebroadcast of a PMI favorite.

Don’t lose revenue because of modifier misuse, non-use or just to bypass CCI edits! The proper use of modifiers is an important part of coding and billing. Learn the categories and correct use of modifiers and avoid fraud and abuse in the coding and billing process. One of the top 10 billing errors determined by federal, state and private payers involves the incorrect use of modifiers.

Review the role of modifiers in communicating the details and know when it is appropriate to use a modifier to obtain proper payment. Modifiers are an essential part of coding and billing that help you tell an accurate story of the patient encounter. This program will expand your knowledge of the role of modifiers in communicating about difficult, increased, separate, reduced, multiple and repeat services. Review examples to improve your proficiency in applying modifiers appropriately.

  • Understand special modifier use (i.e., when billing for a separately identifiable E/M service on the same day as a minor surgery)
  • Learn the correct use of modifiers including the four HCPCS modifiers established by CMS to define subsets of the -59 modifier
  • Find out how to rank a modifier using the three categories and ranking rules when multiple modifier categories are used

Session includes tools and tips to help decrease rejects or denials that occur due to lack of a modifier. Don’t miss this opportunity to gain more confidence when assigning modifiers.