Controversial Modifiers in Urology

Event Information
Product Format
Prerecorded Event
Michael A. Ferragamo, Jr., MD, FACS
Conference Date
Wed, May 13, 2015
60 minutes
Product Description

Learn How to Avoid Misuse of Specific Modifiers, and Insure Full Payments When These Modifiers Are Used

Modifiers have been used in urological coding for years to obtain proper payments for work and services provided. Nevertheless, the Office of the Inspector General (OIG) in their review of the use of modifiers have discovered improper application of several frequently used modifiers resulting in millions of dollars being overpaid to physicians and other providers. Because of this governmental revenue loss, AMA, CMS and their medical agencies have tightened the rules and policies of modifier use. New modifiers have been instituted—both to limit and to clarify modifier use—while certain modifiers have been identified for special surveillance and redefinition.
Join Michael A. Ferragamo MD, FACS in this audio conference to get the necessary information to avoid misuse of specific modifiers, the knowledge of proper use of the new modifiers, and how to avoid denials and insure full payments when these modifiers are used.
Tips of the Trade: Tips on coding and billing will be presented with full clear explanations of the new and old modifiers. When modifiers should always be used and when they should not, will be discussed. Criteria for modifier use will be stressed as well.
Major Topics Under Discussion:

  • The proper use of modifier -59
  • The use of the new modifiers X{ESPU} in place of modifier -59
  • When and how the new modifiers should be used
  • The problems with the use of modifier-25 and how to receive payments when using this modifier on an E/M service
  • Solutions for Billing E/M-25 and Surgical procedures
  • Criteria for modifier use: -24, -25, -59, -54, -55, -56
  • Postoperative covering Urologist: 1500 Form
  • How to bill for postoperative care administered in a global period
  • How to bill for surgeries and postoperative care given by different unrelated physicians
  • Discussion on when modifiers should always be used and when they should not 
  • Tips on coding and billing with full clear explanations of the new and old modifiers
  • Bundling rules and Modifiers
  • 2015 Medicare Payments with a New Modifier XS in place of -59

Who should attend:

Physicians, urologists, coders and billers as well as office staff interested in the proper use of modifiers

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

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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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