Modifier Review, Be Sure You Are Not Setting Yourself Up for Audits

May 06, 2021
60 Mins
Stephanie Thomas
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The use of modifiers can be challenging. Modifiers are used to change the meaning or further describe CPT® codes and could alter the reimbursement for services provided. In this session speaker will discuss modifiers as directed for use with: Evaluation and Management services, office-based procedures, surgical procedures and more! The session will also help attendees build a better understanding of specifically how the modifiers should be utilized. Extra emphasis will be placed on the more confusing modifiers, such as: 25, 51 and 59, 76, 77, 78, and 79, which are commonly misused. Expert speaker Stephanie Thomas will also cover HCPCS Level II modifiers.

Webinar Objectives
  • Modifier proper usage in uncertain times with payers. Examples of what NOT to do to “just get the claim paid”.
  • How important physician documentation is in selecting appropriate modifiers, and how to collaborate and communicate effectively with providers to suggest addendums, or additional information to add to their records. 
  • EOBs are complicated and its difficult sometimes to understand what the REAL issue is with a claim-we will give some tips and tricks on this hot topic as well. 
  • Sequencing of modifiers to ensure proper payment and response.
Webinar Agenda
  • Prevent denials and claim issues by submission of proper modifiers on first billing.
  • Identify specific payer requirements and how to find these for reference. Description and LOTS of examples of hard-to-understand modifiers. 
  • How to appropriately rebill if a modifier was changed or added.
Webinar Highlights
  • Modifier use and proper sequencing (Both CPT and HCPCS modifiers)
  • Denials and how to prevent and address when received. 
  • Real world examples (LOTS) to show proper and improper usage.
  • How to find payer specific guidelines on modifiers
  • Audit documentation and learn to collaborate with providers to improve claim outcomes.
Who Should Attend
  • Medical providers
  • Managers 
  • Billing team
  • Front desk
  • MA’s
  • Pre auth specialists
Stephanie Thomas

Stephanie Thomas

Stephanie has worked in the medical, billing and coding industry for nearly 20 years. It is truly her passion. Stephanie works closely with small and large private practices to audit and collaboratively improve their revenue stream. She prides herself in her dedication to her clients and has built a team of incredible billers and coders to support her mission of assisting practices and Physicians across the country with proper coding and aggressive billing practices while being compliant. Stephanie also has extensive knowledge in physician practice processes, front desk, back office, and clinical. This knowledge allows her to be an invaluable asset for all things clinical operations,...
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