This webinar on modifiers used in medical claims w ill explain the hierarchy of guidelines. The session will cover which rules to follow, in which order, and when to challenge an insurer’s modifier coding policy. It will show AMA, Medicare and some Medicaid and private payer modifier coding guidelines and how they vary. Methods to choose the correct modifier will be shown.
Why Should You Attend:
Modifiers are two digits that are used on CPT and HCPCS code lines to tell the insurer a unique story about the service, procedure, or item. Official guidelines and insurer policies on modifier usage often conflict and may shift over time. Using the correct modifier speeds payment processing and avoids denials. Incorrect modifier usage can result in providers having to return payments, pay penalties, and fight fraud allegations.
This session is designed for any compliance director, coder, provider, educator, consultant, or coder, or office manager who is responsible for correct coding and compliance of medical services and procedures. The session will cover correct modifier usage in the primary care practice. The goal is to learn when to apply which modifier guidelines to prevent denials. The strategies also teach proper modifier usage and documentation for improved compliance.
Added by complianceonlinecom on January 22, 2013