Mastering Modifier Usage: Preventing Denials and Ensuring Compliance

Modifiers play a crucial role in providing additional information to payers regarding the services rendered. However, selecting the wrong modifier or sequencing them incorrectly can lead to claim denials and potential compliance issues. Join Becky Jacobsen, BSN, CCS-P, CPC, CBCS, MBS, CEMC, CPEDC as she provides you with valuable insights on how to utilize modifiers appropriately and stay compliant with regulatory guidelines.

Why This is Relevant:

The use of modifiers can be challenging. Modifiers are used to change the meaning of CPT codes and could alter the reimbursement for services rendered. Ensure you obtain proper reimbursement and prevent claims denials by appending modifiers appropriately.

Learning Objectives:

• You will learn the difference between payment and informational modifiers and how they affect reimbursement rates.
• You will gain a better understanding of the most commonly utilized modifiers, including Medicare-specific modifiers and global surgical packages.
• Learn to ensure that your documentation supports the use of a modifier to bypass NCCI edits.
• You will also learn how to utilize software appropriately to ensure compliant coding and billing.
• Practical scenarios will be provided to help you identify the appropriate modifier to use
• You will walk away from this webcast able to prevent claims denials, ensure appropriate reimbursement, and validate the documentation that supports the use of a modifier.

Who Should Attend:

Coders, auditors, Denial Specialist, Compliance, Providers, Consultants.