CPT: Modifiers 2013 - CPT: Modifiers, Myths & Misconceptions 2013 - Webinar By MentorHealth

Overview: This session is dedicated to the correct usage of CPT modifiers. Modifiers are a 2 character(alpha or numeric) code that are added to a CPT code to clarify the services being billed, for physician based medical services. Modifiers provide a means to which they "enhance" the basic CPT code to provide more information to the insurance or 3rd party payer, without disrupting the basic definition of the CPT code
CPT modifiers (also referred to as Level I modifiers) are used to supplement information or adjust the description to provide extra details concerning a procedure or service provided by a physician. The American Medical Association (AMA) developed the CPT system and the modifiers that can be attached to codes themselves. CPT Modifiers add information such as the anatomical site, or to show that a service was performed multiple times, or Significantly and /or separately identifiable. Modifiers used correctly can increase accuracy in reimbursement, coding, editing, and data analysis across the continuum of care. In some cases, multiple modifiers are required in order to fully depict a service or procedure. The modifiers covered in this session will be those used by physician based offices, (eg modifiers 22 - 59) which encompass services such as unusual anesthesia, bilateral procedures, multiple procedures, reduced services, increased services, Technical components, Interpretation only services, mandated services, and even distinct procedural services.
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Why you should attend:
In the healthcare field of physician based billing, CPT and the modifiers that are associated with it are commonly misunderstood, and misused when submitting insurance claims for physician based services. By attending this webinar, It will give you tips, and helpful hints on how to appropriately use many of the most "denied" modifiers used within healthcare. In this session, we will cover these modifiers: Modifier 22 - 59. In addition to covering modifier TC & 26. In addition to the correct usage of the modifier, we will uncover many of the myths surrounding inappropriate usage, and documentation criteria needed for correct reimbursement.
By utilizing the correct modifiers for your CPT codes, you will be able to "paint the picture" of the care the patient received during the physician's office visit, and reap the benefit of a correct claim the first time through, and paid in a timely manner. This session will enable you and your office to enhance your revenue stream, by utilizing the correct codes for the right reason.
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Areas Covered in the Session:
22 Increased Procedural Services
23 Unusual Anesthesia
24 Unrelated E&M /Same Physician during Post op period
25 Significant Sep Identifiable E&M on same day as procedure
50 Bilateral Procedure
51 Multiples Procedures
52 Reduced Services
53 Discontinued Procedure
54 Surgical Care Only
55 Postoperative Management Only
56 Preoperative Management Only
58 Staged or Related Procedure
59 Distinct Procedural Service
TC Technical Component Only
26 Professional Component Only
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Who Will Benefit:
Physician Office based, Medical Coders
Medical Office Managers
Medical/Insurance Billers
Medical Claims Reviewers
Medical Health Record Specialists,
Medical Front Office & Back office Personnel
Medical Billing Students
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Lori-Lynne Webb Lori-Lynne is an independent coding, compliance, and auditing specialist. She has 20+ years of multi-specialty coding experience and teaches coding, compliance and auditing skills for clinical and clerical staff, utilizing AMA and AHIMA based curriculum. Lori-Lynne is also an AHIMA ACE mentor
In addition to performing physician based coding and auditing services for Physician Services, she is a contributing author & Audio presenter for many national coding resource. She is a speaker, educator, writer and presenter for many national publications and companies such as the, AAPC, AHIMA and IdHIMA. In addition to her educational and technical writing, she also contracts and performs independent audit and education services for private practice physicians and facilities.
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