Coding for Proper Modifier Use in Urology

Event Information
Product Format
Prerecorded Event
Presenter(s)
Michael A. Ferragamo, Jr., MD, FACS
Length
90 minutes
Product Description

Get All the Latest Updates on Proper Modifier Use in Urology

 

Modifiers have been used in urological coding for many years to obtain correct payments for services provided. Recently, the office of the Inspector General (OIG), in its review of the use of modifiers have discovered errors in the use of some of the most commonly used modifiers that have resulted in overpayments to urologists and other providers. Because of this, CPT® and CMS and their medical agencies have increased their surveillance of the use of all modifiers. New modifiers have been installed to clarify the use of certain codes and procedures and to limit use of some modifiers. Certain modifiers have been identified for special observation and investigation as to their correct usage.

This audio session by expert speaker Michael A. Ferragamo, MD, FACS, will provide you the necessary information to avoid misuse of specific modifiers and to understand the overall use of modifiers in general. You’ll also get a clear explanation on strategies to avoid denials and to insure proper payments. Plus, you’ll get tips on coding new and old modifiers with many clinical examples. This session will give you a clear idea of when to and when not to use modifiers with all the important criteria for modifier use.

Session Highlights:

  • Sequencing of urology modifiers for payment
  • The proper use of Modifier-59
  • The use of the relatively new modifiers X{ESPU} used in place of modifier -59
  • When and how the new modifiers should be used
  • The use of modifier-25, a real problem and how to properly use this modifier with E/M services and how to avoid denials when using this modifier
  • Criteria for use of modifiers 24, 57, 58
  • Insights on Modifier -22, -52, -53, -26,
  • Modifier use when sharing patient surgical care, what modifiers should be used?
  • Insights on the Global Concept
  • How to bill for post-surgical care within the global period
  • How to bill for surgeries and postoperative care given by different unrelated physicians
  • Modifier-78 used in the Global Period
  • Common coding scenarios: learn from examples
  • Summary for Secondary Procedures using Modifiers -58, -78, and -79
  • Coding for bilateral procedure: Modifier-50
  • Discussion on modifier -62, --80, -81, -82, -AS, -51, -55, and more!

Who should attend?

  • Physicians of various specialties
  • Urologists
  • Coders
  • Billers
  • Office staff involved in modifier use

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

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1-866-458-2965

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1-919-287-2643

About Our Speaker

Michael A. Ferragamo - Urology Coding Expert

Dr. Michael A. Ferragamo, Jr., MD, FACS, is the former chief of urology of Hempstead Medical Center and of Franklin Medical Center of Long Island, New York, and presently is assistant clinical professor of urology, State University of New York, Stony Brook School of Medicine. Michael is a consulting editor for Urology Coding Alert and is a coding consultant for many private practices across the United States as...   More Info
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