Online Training Course

Prod ID: 417
Mastering Modifier Usage

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.

CEUs

1

Length

61 min

Price

$99.00

Learn how to ensure modifiers are applied appropriately for maximum reimbursement and compliance. Understand audit risks when modifiers are inappropriately applied. 

Topics covered include:

  • 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

Jan Hailey

MHL, CMC, CMCO, CMIS, CMOM


Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program. 

Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.

Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.

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.

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.

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

"Great updated information for managers as well as coders."

"It's a good refresher if you want to stay up to date on any changes."

"Very informative training on the usage of modifiers."

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