Proper Payment Through Modifiers

Course Description:

Are you struggling to get your healthcare claims reimbursed? Join our webinar to learn the essential skills of using modifiers correctly! Our expert speaker will guide you through coding examples and clarify the hierarchy of modifiers when multiple modifiers are needed for the same encounter. Learn when to append modifiers, the difference between payment and informational modifiers, which ones to use, and the order to use them in.  Don't miss out on this opportunity to ensure appropriate payment for the health care services you provide. 

Learning Objectives:

• Understand the difference between payment and informational modifiers 
• Learn the NCCI guidelines on the appropriate use of modifiers
• Be able to apply the correct modifier(s) based on the specific circumstances
• Learn how to properly resolve NCCI edits including a breakdown of -59 and associated -X modifiers
• Proper use of modifier -25, especially in the office or outpatient setting
• Understanding the -57/-54 combination

Areas Covered in the Session:

• Purpose of Modifiers
• Types Of Modifiers
  • Payment Modifiers
  • Informational Modifier
• CPT/HCPCS Modifiers
• Modifiers And Reimbursement
• Tips for Modifier Usage
• Steps to Applying Modifiers Correctly
• Hot Topic Modifier
• Modifiers 24/25
  • CMS Guidelines for Modifier 24
  • CMS Guidelines for Modifier 25
• Modifier 59
  • CMS Guidelines for Modifier 59
  • AMA Guidelines for Modifier 59
• Modifiers X{EPSU}
• Modifiers JW & JZ
• Surgery Modifier
• NCCI
• Modifier 22
• Modifiers 50/51
  • Modifier 50: Bilateral Procedure
  • Modifier 51: Multiple Procedures
• Modifiers 58/78
• Modifiers 76/ 77
  • CMS Guidelines for Modifier 76 and Modifier 77
  • AMA Guidelines for Modifier 76 and Modifier 77
• Example for All Modifiers
• Resources

Suggested Attendees:

• Coders
• Billers
• Auditors
• Physicians and non-physician practitioners
• Nurses
• Medical Officers
• Compliance Officers
• Clinic Managers
• Insurance company claims reviewers
• Insurance payers
• Payment policymakers
• Denial resolution team

About the Presenter:

Betty is a nationally recognized healthcare consultant, author, educator, and national speaker and the owner of Compliant Health Care Solutions. She is an expert auditor and loves to help practices stay compliant and profitable. She has educated on E/M across the country and audited thousands of records.

Betty brings over thirty-five years of healthcare experience with her, including spending years on the “front lines” for practices. When speaking, Betty brings humor and real-life experience to her educational sessions that allow her to ensure that everyone understands the subject matter. She has educated coders, managers, health plans, administrators, physicians and non-physician practitioners all across the country. She has co-written manuals on ICD-10-CM, ICD-10-PCS, and CPT specialty areas. She authored a chapter for the book, Telemedicine in Orthopedics and Sports Medicine: Development and Implementation in Practice.

Betty has a BS in Healthcare Administration and Management from Colorado State. In addition, she carries the following credentials: Through AHIMA she holds a CCS-P and CDIP; through AAPC she holds an additional 6 credentials. Betty is a past member and officer on the AAPC National Advisory Board. She is currently on the BC Advantage Editorial Board. Betty currently is serving a term on the AHIMA Council for Excellence in Education.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Snippet From Our Previous Session:

Related Webinars You May Like:

1. Subpoena Request and Audits: Avoid Legal and Compliance Mistakes
2. 2024 CMS Remote Patient Monitoring (RPM) Reimbursement and Compliance Updates

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff

"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN" 

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer