CMS Modifiers: Coding, Billing, and
Compliance Regulations
Virtual Boot Camp
Presented By: Elin Baklid-Kunz
Pre-recorded (180 Minutes)
Prevent Payment Denials and Reduce Your Compliance Risk with Correct Use of Modifiers
Overview :

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

  • Additional modifiers
  • Recent developments
  • OIG’s report on modifier 25
  • Consequences of inappropriate modifier use
  • Common mistakes to avoid
  • Recent fraud settlements
  • CERT & OIG’s reports
  • Billing for transfer of care
  • Multiple procedures modifiers: 50, 51 & 59
  • Documentation tips to win appeals
  • Appeal resources
Session Details
Session 1: Types of Modifiers, Compliance Risk and Common Mistakes to Avoid

Length: 90 minutes

This session will cover the following topics:

  • 2019 Medicare physician fee schedule and proposed changes impacting E&M codes and modifier 25
  • Compliance risk
  • Global surgical package
  • Global package modifiers
  • Multiple procedure modifiers
Session 2: How to Use Modifiers, Avoid Misuse and Incorporate Best Practices in Your Audit Plan

Length: 90 minutes

In this session, you will learn about:

  • National Correct Coding Initiative (NCCI)
  • Modifier 59: Appropriate use and examples
  • E&M modifiers
  • Modifier 25: Appropriate use and examples
  • Private payers and resources
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 is an expert in medical coding compliance who supports clients in matter across the United States with over 20 years of experience in the field.

Ms. Kunz is a national speaker and published author. Recent speaking engagements include the 2018 European Symposium on Ethics and Govern... Read More

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