Modifiers 51, 52, and 59 - More Clarity On Their Usage

Event Information
Product Format
Prerecorded Event
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
60 Minutes
Product Description

Discover Modifier Mantras That You Need To Follow

Modifiers can be your friends when necessary. For instance, suppose your physician intended to perform a colonoscopy but was unable to complete it because a mass prevented the passage of the scope. You would append modifier (Reduced services) to the CPT® codes to let the payer know that your physician intended to perform the colonoscopy but could not do so.

But with increased government scrutiny, you need to make sure your documentation supports their use. If you append one of them by mistake, you should prepare yourself for reduced payments, even denials. Ensure you receive the correct payment you deserve by following these tips to remain compliant.

Heads up: Some private payers are sending warning letters to providers who bill modifiers significantly more than their peers.

If the spotlight is on modifiers, make certain you can withstand scrutiny. Take a closer look at modifiers 51, 52, and 59. They can often be confusing. You’ll walk away with such mantras as “Use modifier 59 only as a modifier of last resort” that can spare your practice headaches. You’ll also receive documentation examples of best practices for each modifier. Be sure to have all your modifier questions ready for expert Elin Baklid-Kunz, MBA, CHC, CPC, CCS to answer.

This session will help you:

  • Identify the compliance risk with inappropriate use of modifiers.
  • Define modifier 51, 52, and 59.
  • Review how you should appropriately use modifiers 51, 52, and 59 — You may be surprised.
  • Follow these best practices to mitigate risk.

Who should attend? Coding professionals, billing specialist, practice managers, HIM directors, compliance officers, case managers and, physicians

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About Our Speaker

Elin Baklid Kunz - Medical Billing Coding Expert


Kunz is a national speaker and published author on topics related to medical practice compliance, coding, reimbursement, chart audits and federal regulations. Her twenty years of healthcare experience includes six years as Director of Physician Services for a large health system, seven years in corporate finance and four years in compliance. She presents workshops for the American Academy of Professional Coders and delivers keynote presentations for Eli Research...   More Info
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