CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

Using Modifiers Correctly: Every claim line tells a story

Recorded May 4, 2017

Are you missing modifiers?  Misplacing modifiers? If so, you’re losing money and wasting time working denials. Slapping a modifier on “just to be safe” (modifier 59 users, this one’s for you) can result in payment when none was due or denials. Coding denials due to incorrect or missing modifiers can cost a practice money.

Agenda for this webinar includes:

  • Common CPT® and HCPCS modifiers
  • Source documentation for each type of modifier
  • Description/discussion of common CPT® and HCPCS modifiers
  • Impact of using a modifier on the claim and payment

Modifiers are essential to coding. Some affect payment and some are informational only. Using a modifier does not change the definition of the procedure or service, but tells the payer that there were special circumstances regarding the provision of care.

Some modifiers by-pass claims editing software, and using the modifier results in payment to the practice. In those cases, correct modifier use is important for compliance and revenue. In other instances, the modifier is informational, but required, such as teaching physician modifiers.

Appending modifiers often falls to coders who need to know the rules and be willing to make an assessment when the documentation calls for judgment. This 60 minute webinar will discuss the most commonly used CPT® and HCPCS modifiers.

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- Betsy Nicoletti
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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.