Stay one step ahead of the OIG when it comes to these misused modifiers.
If you're worried that appending modifiers 25 and 59 to your claims might spark a federal audit, you're absolutely correct. At the end of 2005, the HHS OIG warned CMS that physician practices are misusing 25 and 59, and the federal watchdog agency is still on the lookout for providers that run afoul of modifier rules. However, if you're so worried about a federal audit that you neglect to use modifiers when they're appropriate, your practice will lose big on the reimbursement. Don't be afraid of 25 and 59. Instead, learn the rules so you can append with confidence.
Find what the OIG has been flagging, and make sure your practice is following proper modifier guidelines by joining nationally-known coding and billing expert Steven M. Verno, CMMC, CMMB, NREMTP. In this critical audioconference you’ll learn what not to do with modifiers 25 and 59 AND you’ll walk away with the confidence of when you can use them for better reimbursement.
Here's a sampling of what you'll learn:
- Good, bad and ugly: the OIG's findings on modifier 25 and 59 use.
- The most common ways practices are misusing 25 and 59 -- is your practice guilty?
- 3 expert documentation pointers to ensure proper modifier 25 application.
- Crucial information from the NCCI manual coders miss when they only concentrate on edits.
- Do NOT use modifier 59 in these instances -- the more appropriate modifier may surprise you!
- Can I use modifier 25 when a patient has been scheduled for a procedure? Find out here!
- Recommendations for 25 and 59 modifier use straight from the horse's mouth (OIG)
- Step-by-step instructions to ensure modifier use and reporting compliance.
- BONUS: Receive a modifier 59 decision tree and a modifier 25 quick reference sheet.
Have modifier 25 and 59 questions? Get the answers you need in our interactive Q&A session.
Who should attend? Coders, billers, auditors, compliance officers, and anyone in practice or facility settings who deal with CPT codes on claims.
Your registration includes:
- Risk-free enrollment! Scheduling conflict? No problem! This session is also available on CD!
- Expert answers to your tough questions during the interactive Q&A period.
- Complimentary attendee package, including the speaker's complete presentation handouts. Keep this quick reference tool close by for future use!
- One low price for all the staff you can stuff into a conference room!
Order Below or Call 800-508-2582 Today!
Steve Verno is a member of the Professional Association of Healthcare Coding Specialist (PAHCS) and will soon be the first person certified as a CEDCS (Certified Emergency Department Coding Specialist). Verno is also a member and former instructor with the Medical Association of Billers. He may be teaching a new course he is designing called the Accounts Receivables Recovery Specialist Certification Course with the Medical Association of Billers. Verno was a coding and billing professor with Everest University, where he is on medical leave due to a stroke in January 2008. He has written and has had published more than eight books and guides on HIPAA, coding and billing. Some of the free guidebooks are for appealing, ERISA, Florida Statutes and massage therapy coding and billing. He is also a contributing author for the book, The Insurance Handbook for the Medical Office. Verno has more than 20 different seminars such as on Provider Contracting, Appeals, ERISA and Medical Billing Values. He is a medically retired practice manager of 14 emergency department physician practices.
"Speaker was excellent, kept on point and stuck to the slides."
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"No travel involved. Able to fit in normal routine and still have opportunity to learn."
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"educational, the different questions and feedback from around the country."
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"Learning about new edits and how best to appeal."
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"Ability to listen to the program on my own schedule during the scheduled day! Great way to manage my time....."
- Anne-Marie Eugley
"Straightforward content, speaker was not monotone and kept the presentation moving along."
- Matthew Hale
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