How to Properly Use Modifiers

About this program

Back by Popular Demand. Rebroadcast of a PMI favorite.

Healthcare claims sent to insurance carriers have to tell the story of what services and/or procedures were performed to treat a patient, and the medical necessity of the services and procedures reported. Circumstances often arise that require additional information be shared with the payer so they will understand the full story of the claim. This is the where the application of modifiers comes into play. Modifiers are an essential part of coding and billing that help you tell an accurate story of the patient encounter.

Some payers require specific modifiers when certain scenarios occur, and there are also coding manual guidelines requiring modifiers. Providing the appropriate modifiers allows medical claims to be processed quickly. However, the incorrect use of modifiers remains a top billing error cited by federal, state, and private payers. Lost revenue, claim rejections and denials, and audit letters are inevitable consequences when you are not utilizing modifiers correctly.

Attend this 60 minute Lunch and Learn webinar session to understand the impact of specific modifiers on provider reimbursement and to gain clarity on when it is, and when it is not appropriate, to append a modifier.

Highlights:

Review of modifiers from CPT and HCPCS manuals
Identify the E/M only modifiers
Overview of Medicare and CPT guidelines for modifier usage
Applying modifiers when your provider did not perform the surgery
Assigning modifiers for minor and major surgery
Appropriate use of modifier 25
Learn how modifiers affect reimbursement
Avoid common modifier errors

Live Online Classes

How to Properly Use Modifiers

About this program