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Home > Audio Learning Center > Modifiers - Know When and Why to Use Them

Modifiers - Know When and Why to Use Them

Date:Thursday, December 10, 2020
Time:12 noon to 1:00 p.m. Central Time
Course fee:SPECIAL $99 1 HR WEBINAR
Presented by: Jan Hailey, CMC, CMIS, CMOM, CMCO

Webinar/Audio Conference FAQs

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.

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 1 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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PMIMD instructor

About the Presenter

Jan Hailey has more than 20 years of experience in healthcare with proficiency in administration, coding, and billing roles. She joined Saint Joseph Physician Network located in Mishawaka, IN as the Director of Quality in November 2015. In 2019, her role transitioned into Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. This transition allowed for her expertise to expand beyond the physician network to lead a comprehensive interdisciplinary team across the health system and work closely with providers, management, staff, community and payers to develop strategies on process improvement, gap closures and patient experience.

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