Catalog Number : caa1055
Title : Modifiers for APCs
Speaker : Duane Abbey

Webplay Recording Date : 11-18-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Objectives:

• To review the concept and use of modifiers for claims filing
• To compare and distinguish payment modifiers from informational modifiers
• To appreciate how APCs utilizes modifiers
• To review the new modifiers for CY2010 and CY2011
• To review the main modifiers used by hospitals
• To compare the modifiers used by physicians versus hospital utilization
• To understand CMS’s Correct Coding Initiative Edits
• To appreciate the documentation requirements in using modifiers
• To review OIG compliance issues concerning the use of modifiers
• To appreciate RAC concerns with the proper use of modifiers

Webinar Outline/Agenda:

• Overview of Modifiers
  • Payment vs. Informational Modifiers
  • Hospital vs. Physician Modifiers
  • Modifier Placement on Claim Forms
  • APC Utilization of Modifiers
  • CPT and HCPCS Modifiers
• New Modifiers for CY2010/CY2011
• CMS’s Correct Coding Initiative
  • CMS Edits
  • Surgical Package Concepts
  • Private Third-Party Payer Edits
• E/M Modifiers
  • Definition and Use
  • Examples
  • Compliance Issues
• Surgery Related Modifiers
  • Definition and Use
  • Examples
  • Compliance Issues
• Other Modifiers
  • Definition and Use
  • Examples
  • Compliance Issues
• Modifiers and the Chargemaster
  • Static Coding
  • Dynamic Coding
• Documentation and Compliance Issues
  • OIG Issues
  • RAC Issues

Target Audience:

• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Physicians
• Other Interested Personnel

Contact Hours:

Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.