Catalog Number : cra1630
Title : Understanding Modifiers
Speaker : Duane Abbey

Webplay Recording Date : 10-14-2009
Webplay Price : $ 225 for two weeks viewing

Webinar Level: Advanced

Target Audience:

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

Webinar Objectives:

• To review the concept and use of modifiers for claims filing
• To compare and distinguish payment modifiers from informational modifiers
• To review the new modifiers for CY2009
• To review the main modifiers used by hospitals
• To review the main modifiers used by physicians
• 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 “-25” and “-59” modifiers
• To appreciate RAC concerns with the proper use of modifiers

A few of the Topics that will be covered:

• Overview of Modifiers
  • Payment vs. Informational Modifiers
  • Hospital vs. Physician Modifiers
  • Modifier Placement on Claim Forms
• CMS’s Correct Coding Initiative
  • CMS Edits
  • Private Third-Party Payer Edits
• “-59” Modifier Utilization
  • Definition and Use
  • Examples
  • OIG Study Findings
• “-25” Modifier Utilization
  • Definition and Use
  • Examples
  • OIG Study Findings
• “-52”, “-73” and “-74” Modifier Utilization
• New Modifiers for CY2009
• Other Modifiers
• Modifiers for the Chargemaster
• Documentation and Compliance Issues
  • OIG Issues
  • RAC Issues

Prerequisites for Participating:

• General knowledge of coding billing and reimbursement.

Attendance Certificate: 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.