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:
Who should attend? Coding professionals, billing specialist, practice managers, HIM directors, compliance officers, case managers and, physicians
Elin Baklid-Kunz is an expert in medical coding compliance who supports clients in matter across the United States with over 20 years of experience in the field.
Ms. Kunz is a national speaker and published author. Recent speaking engagements include the 2018 European Symposium on Ethics and Governance in Paris for the Organization of Economic Cooperation and Development; American Bar Association 2018 Physician Legal...
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