Modifier 59 changes and CCI issues for 2015

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
60 minutes
Product Description

Learn About the New, Revised Issues Relating To the Updating of the NCCI Guidelines as Related To Modifier 59 Issues. Also Learn About Medicare’s newly released X modifiers.

The CMS announced changes to the use of the modifier 59 which could affect medical billing submissions and provider reimbursements. Due to overuse of modifier 59, they have created a new series of modifiers which would provide more specificity of the distinct procedural service.

Join expert speaker Margie Scalley Vaught — who has over 30 years of experience in healthcare— in this webinar to learn about the new, revised issues relating to the updating of the NCCI guidelines as related to modifier 59 issues. She will also discuss Medicare’s newly released X modifiers. Additionally, get an understanding of when and how to use modifier 59 and when it’s not appropriate from a CMS and CPT® standpoint.

You will come away from this webinar with a better understanding of the intent of Modifier 59 and have more confidence in your coding and billing of this modifier.

Session Highlights:

  • 2015 NCCI guidelines from Chapter one. Discussion on what supports a modifier 59 and when it should be used
  • Insights on the new modifier 59 issues from Chapter One
  • Discussion on common misuse of modifier 59
  • Understand when you can bill for a diagnostic procedure followed by a surgical procedure
  • Understand the new X modifiers from a CMS stand point
  • Don’t confuse UOS vs. Modifier 59
  • Insights on Warnings  about ABNs
  • Discussion on Modifier 59 chapters—Chapter 3, 4, 5, 6, 8, 11
  • Overview of Modifier 59 regarding PT services
  • WPS - Modifier XE, XP, XS, XU Fact Sheet
  • Learn from examples of other Payers
  • And more!

Who should attend ?
Coders, Billers, Office Managers, Practice Manager, Therapist Coders, Billers, Office Managers, Practice Manager, Therapist


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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
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