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 are used only for procedures. Modifiers are critical components of medical billing and coding to complete the story of services and procedures on a medical claim.

Learning Objectives:-

• 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

Why should you Attend?

Modifiers are critical components 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 effect 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.

Who should Attend?

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