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Home > Curriculum > Using Modifiers to Improve Claim Accuracy

Using Modifiers to Improve Claim Accuracy

Documenting the Complete Patient Story

5 Reasons To Attend

How is your confidence level when applying modifiers? An audit letter might make you second-guess yourself.

Don�t lose revenue because of modifier misuse, non-use or just to bypass CCI edits! This class will explain modifiers and when it is appropriate to use a modifier to obtain proper payment.

Class Highlights:

  • Tips for correct use of -X(EPSU) modifiers
  • List and explanation of Levels I and II modifiers
  • E&M modifiers
  • HCPCS modifiers
  • Surgical Modifiers
  • Guidelines and usage tips
  • Negative impacts of modifiers
  • Sharpen knowledge of CPT® guidelines related to modifier usage
  • Why pricing modifiers are considered part of the seven-digit procedure code by CMS
  • Use of modifiers when services are in the global period
  • The difference between modifiers 25 & 59 and modifiers 52 & 53
  • Inclusion of medical necessity in documentation to support the use of modifiers
  • Audit risks and identification of abuse of modifiers as reported by CMS

Who Should Attend

Coders, billers, practice managers, charge entry and insurance specialist dealing with appeals should attend.


At least one year of coding/billing experience for outpatient services is recommended.

What to Bring

Current year CPT and HCPCS manuals are required for this class.

PMI 051518

Program Schedule

There are no live classes available at this time. See below for more options.

Not able to attend a live session?
Check out our self-paced version!

Online Training

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 3 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.

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