Billing with Modifiers

Duration 60 Mins
Level Intermediate
Webinar ID IQW21A0125

  • Modifiers for evaluation and management services
  • The surgery modifiers
  • The real truth about modifiers 25 and 59
  • How do modifiers affect the reimbursement of a procedure or service
  • Applying the X modifiers instead of 59
  • Modifier 78 or 79
  • How should bilateral procedures be reported
  • Don’t forget the HCPCS modifiers 

Overview of the webinar

Modifiers are used to describe specific situations for claims processing of medical claims. Insurance carriers expect to see modifiers in certain scenarios based on their policies as well as guidelines from the American Medical Association, Medicare, and specialty societies. Modifiers can affect the way a service or procedure is reimbursed, or avoid a denial of all or part of a claim. There are modifiers that can only be used for evaluation and management services, while other modifiers that are used only for procedures. Modifiers are critical component of medical billing and coding to complete the story of services and procedures on a medical claim.

Who should attend?

  • Biller
  • Coder
  • Reimbursement specialist
  • Collector 
  • Claims submission
  • Manager
  • Supervisor 
  • Claims adjudicator
  • Claims processor
  • Charge entry

Why should you attend?

Modifiers are critical component of billing and coding of claims for the reimbursement of services or procedures performed by physicians and other qualified healthcare professionals. This webinar will explain the correct usage of modifiers as well as the affect assigning modifiers can have on reimbursement. Assigning a modifier improperly can lead to incorrect claims processing or denials. When a modifier is used accurately, a clean claim is submitted. 

Faculty - Ms.Lynn Anderanin

Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.

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