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Mastering Modifier Usage


About this program


Modifiers are used to relay additional information to payers. Without the appropriate modifier, medical providers risk denials or reduced payment. Applying the right modifiers ensures proper reimbursement and fewer claim denials.

This course will benefit anyone who uses CPT codes - providers, billing staff, and managers will learn how to ensure modifiers are applied appropriately for maximum reimbursement and compliance. Participants in this session will learn/review correct modifier usage.

Agenda includes:

  • how to use the NCCI edits
  • Levels I and II modifiers
  • E&M modifiers
  • HCPCS modifiers
  • Surgical Modifiers
  • negative impacts of modifiers
  • use of modifiers when services are in the global period
  • audit risks when inappropriately applying modifiers