Appropriate Modifier Usage for Correct Coding and Reimbursement- Clearing up the Confusion

Event Information
Product Format
Prerecorded Event
Presenter(s)
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
Conference Date
Thu, Jul 27, 2017
Length
60 minutes
Product Description

How to Avoid Common Modifier Coding Mistakes?


Appropriate modifier use is essential to correct coding and ensures your practice gets paid. Are you aware of the common modifier coding mistakes?

This session with expert speaker Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS, will review actual visit examples and will discuss whether an office visit with joint injection is also payable. Elin will also discuss what modifiers can be used for E/M services during the global period.

With this session, you will be able to ensure correct coding and payment the first time. Elin will discuss about reduced payments, increased government scrutiny, denials, compliance, and ways to ensure correct payment. You will also be provided handouts on documentation tips.

Session Highlights

  • Compliance risk & OIG report on modifiers
  • Distinguish between the different types of modifiers
  • Detailed review of high risk modifiers (25 & 59)
  • Documentation tips to reduce the number of suspended or rejected claims
  • Sample cases and appeal letters

 Session Agenda

  • Compliance risk
    • Incorrect modifier use
  • Recent fraud settlements
  • OIG’s work plan & reports
    • OIG’s reports on modifiers 25 and 59
    • Use of modifiers during global surgery period
  • Comprehensive error rate testing
  • ”Global package” modifiers
    • Global surgery package
    • Global days and payment example
    • E/M modifiers
    • ER visit and minor procedure
  • Multiple procedure modifiers
    • National correct coding initiative
    • NCCI policy manual for Medicare services
    • New subset of modifier 59
  • Private payers and resources
    • Private payer policies
    • Determine your compliance risk
    • Appeal Resources

Who Should Attend

  • Coding professionals
  • Billing specialist
  • Practice managers
  • HIM directors
  • Compliance officers
  • Case managers
  • Physicians

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-866-458-2965 Today

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Phone

1-866-458-2965

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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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