How to Use Modifiers Correctly and Reduce Your Compliance Risk
CMS Modifiers: Coding, Billing, and Compliance Regulations
Virtual Boot Camp
Presented By: Elin Baklid-Kunz
Live Webinar | Date: Thursday, August 23, 2018
Duration: 180 Minutes | Time: 01:00 P.M. EST - 4:30 P.M. EST
Prevent Payment Denials and Reduce Your Compliance Risk with Correct Use of Modifiers

Correctly applying modifiers isn’t always as easy as it seems. Modifiers can be confusing – and they keep changing every year. Providers often use modifiers inappropriately, leading to claim denials. If you don’t stay on top of coding, billing, and compliance regulations, it could lead to significant revenue loss, wasted follow-up time, and government investigations. Are you aware of the common coding mistakes you could be making this year?

Join medical coding compliance expert Elin Baklid-Kunz in this webinar, for insights on how to prevent reduced payments and denials, and combat government scrutiny. In this session, you will learn about the different types of modifiers, the differences between CMS and other payers, the common mistakes to avoid, and the best practices to follow. She will help you understand (with examples) what to look for when auditing – and offer tips on how to be in compliance and ensure correct payment.

After attending this session, you will be able to confidently and correctly recognize, distinguish and use modifiers, and include them in your practice audit plan.

Session Agenda:
This session will cover useful topics, such as:

  • Modifier definitions
  • Compliance risk and common mistakes
  • OIG’s report on modifiers
  • Global period- Medicare vs private payers
  • “Global package” modifiers
  • Multiple procedure modifiers
  • High risk modifier 59 best practice
  • E/M modifiers
  • High risk modifier 25 best practice
  • Private payers and modifiers
  • Audit considerations
  • Resources
Session 1: Types of Modifiers, Compliance Risk and Common Mistakes to Avoid

Length: 90 minutes | Time: 01:00 P.M. EST - 02:30 P.M. EST

This session will help you understand:

  • Different types of modifiers: Definitions, global package and multiple procedure modifiers
  • Global period and the differences between CMS and other payers: Global period – Medicare vs. private payers
  • Compliance risk and common mistakes
  • OIG’s report on modifiers
Break Time: 02:30 P.M. EST - 03:00 P.M. EST | Duration: 30 minutes
Session 2: How to Use Modifiers, Avoid Misuse and Incorporate Best Practices in Your Audit Plan

Length: 90 minutes | Time: 03:00 P.M. EST - 04:30 P.M. EST

In this session, you will learn:

  • How to use modifiers with actual examples: E/M, global package, and multiple procedure modifiers
  • How to tackle problem modifiers, understand facts and avoid misuse (including best practices for high risk modifiers 59 and 25)
  • How to incorporate modifiers into your practice’s audit plan using the best practices for risk mitigation
Who Should Attend?
  • Coding Professionals
  • Billing Specialist
  • Practice Managers
  • HIM Directors
  • Compliance Officers
  • Case Managers
  • Physicians
  • Non-physician Practitioners, such as Physician Assistants
  • Nurse Practitioners
About Our Speaker
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS 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 Issues Conference, 2017 American Health Information Management Association National Conference; 2016-2008 American Academy of Professional Coders Coding & Compliance workshops; 2018-2009 keynote presentations for Eli Research, Coding Institute & Audio Educator. Read More
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