Effective Modifier Utilization for Physicians & Hospitals

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Sep 27, 2012
90 Minutes
Product Description

Modifiers Can Make A Huge Difference For Your Claims!

Don't let another deserved dollar slip out the door because of a missing modifier. Join expert speaker, Duane C. Abbey, PhD, on a 90-minute audio session in which he simplifies the usage of modifier.

Learning Objectives:

  • To review the concept and use of modifiers for claims filing.
  • To compare and distinguish payment modifiers from informational modifiers.
  • To appreciate how APCs utilizes modifiers.
  • To understand how the MPFS uses modifiers.
  • To review the new modifiers for CY2011 and CY2012.
  • To review the main modifiers used by hospitals.
  • To compare the modifiers used by physicians versus hospital utilization.
  • To understand CMS’s Correct Coding Initiative Edits
  • To appreciate the application of the NCCI coding policies
  • To appreciate the documentation requirements in using modifiers.
  • To review OIG compliance issues concerning the use of modifiers.
  • To appreciate RAC concerns with the proper use of modifiers.

Agenda Of the Webinar

  • Overview of Modifiers

    • Payment vs. Informational Modifiers
    • Hospital vs. Physician Modifiers
    • Modifier Placement on Claim Forms
    • APC Utilization of Modifiers
    • MPFS Utilization of Modifiers
    • CPT and HCPCS Modifiers
  • New Modifiers for CY2011/CY2012
  • CMS’s Correct Coding Initiative

    • CMS Edits
    • Surgical Package Concepts
    • Physician versus Hospital Utilization
    • NCCI Coding Policy Issues
    • Private Third-Party Payer Edits
  • E/M Modifiers

    • Definition and Use
    • Examples
    • Compliance Issues
  • Surgery Related Modifiers

    • Definition and Use
    • Examples
    • Compliance Issues
  • Other Modifiers

    • Definition and Use
    • Examples
    • Compliance Issues
  • Modifiers and the Chargemaster

    • Static Coding
    • Dynamic Coding
  • Documentation and Compliance Issues

    • OIG Issues
    • RAC Issues

Who should attend? Coding Personnel, Billing and Claims Transaction Personnel, Coding Supervisors, Billing Supervisors, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Auditors, Physicians, Non-Physician Practitioners and Other Interested Personnel From Both the Hospital and Physician Clinic Settings

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrollment and other financially related concerns of organizations....   More Info
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