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Using Modifiers to Improve Claim Accuracy
Don’t lose revenue because of modifier misuse, non-use or just to bypass CCI edits! This webinar course will explain modifiers and when it is appropriate to use a modifier to obtain proper payment.
Program Highlights:
- Sharpen knowledge of CPT® guidelines related to modifier usage
- Why pricing modifiers are considered part of the seven-digit procedure code by CMS
- Inclusion of medical necessity in documentation to support the use of modifiers
- Audit risks and identification of abuse of modifiers as reported by CMS
See the full course description with highlights here.
Target Audience
This webinar course is appropriate for coders, billers, practice managers, charge entry and insurance specialist dealing with appeals.
Prerequisites
At least one year of coding/billing experience for outpatient services is recommended.
What to Bring
Current year CPT and HCPCS manuals are required for participation in this webinar course.
Full Schedule
Program times are Central unless otherwise noted.
| Session | Date | Time | Instructor | |
| 1 | April 15, 2025 | 11:00-02:00 | Jan Hailey | |
| Fee: $239.00 | Register | |||
Can't attend a live session? Register anyway and you'll receive a link to the recording by the next business day.
CEUs:
| PMI | 3 |
About the Presenter
Jan Hailey MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.