Mind Your Modifiers: Modifier Round-Up for Urology Practices

Event Information
Product Format
Prerecorded Event
Presenter(s)
Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS
Length
60 Minutes
Product Description

Modifiers can make or break your claims. Do You Understand Them Correctly For Your Urology Practice? 

Every coder needs to know modifiers inside and out — or you’re risking denials, slashed reimbursement, and even fraud charges every time you file a claim.

When you code for a urologist, choosing the proper modifier for the documented procedure can get tricky. But don’t worry! This 60-minute urology-focused session, with our expert Leesa A. Israel, BA, CPC, CUC, CMBS will clear up confusion you have about the modifiers you’ll use most often in your urology practice. Knowing how to properly apply modifiers often determines whether you get paid or get denied so it’s essential to understand what the modifiers mean and when to use them. Get to know the most-used modifiers and top mistakes to avoid.

In this session, you’ll learn:

  • Learn when you can override CCI bundles between codes, such as 52601 and 55700, using modifier 59 — overuse can land you in hot water!
  • Uncover the secret of capturing extra payment when your doctor spends extra time on a procedure due to extensive adhesions — Hint: modifier 22 is your key to success.
  • Discover why CPT offers you modifier 50 and modifiers RT/LT — your payer gets to choose which you need to use.
  • Determine when your urologist’s radiology work requires modifier 26 — you’ll need to know who owns the equipment.
  • Find out the key differences between modifier 52 and modifier 53 — there’s a clear cut way to decide which you should use.
  • Do you know what to do when your surgeon treats complications after a procedure? Don’t automatically append modifier 78 or you could face denials.

Who should attend? Anyone in a urology or urologynecology practice that is responsible for coding, billing or practice management: urologists, urogynecologists, urology coders, urology billers, urology practice managers

 

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About Our Speaker

Leesa A. Israel - Urology Coding Expert

 

Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS, specializes in medical coding and reimbursement for physician practices, as well as billing and collections policies and strategies. Leesa is currently the Audit Training Manager of the Coding Institute’s Consulting & Revenue Cycle Solutions. In this role, she provides auditing, consulting, and education services to practices around the country in a variety of areas, including urology, general surgery, and evaluation...   More Info
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