Correctly applying modifiers isn’t always as cut and dry as it seems. Many times providers inappropriately use modifiers, an abuse that inevitably leads to claim denials. Payers must pay attention to physician claims utilizing modifier 25, as it is one of the most commonly misused modifier that has a high claim denial rate.
Private payers are sending out warning letters to providers who bill E/M codes with modifiers significantly more than their peers. Increasing claim denials, wasted follow-up time, revenue loss, and OIG investigations are some of the potential consequences of inappropriate use of Modifiers.
Join Elin Baklid-Kunz, MBA, CHC, CPC, CCS, in this audio session to learn about the common Modifier -25 coding mistakes and how to ensure correct coding and payment at the first time. Learn about the current modifier trends, how to prevent reduced payments and denials and combat increased government scrutiny.
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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