Online Training Course

Prod ID: 467
How to Properly Use Modifiers

Healthcare claims sent to insurance carriers have to tell the story of what services and/or procedures were performed to treat a patient, and the medical necessity of the services and procedures reported. Circumstances often arise that require additional information be shared with the payer so they will understand the full story of the claim. This is the where the application of modifiers comes into play.

CEUs

1

Length

61 min

Price

$119.00


Modifiers are an essential part of coding and billing that help you tell an accurate story of the patient encounter. Some payers require specific modifiers when certain scenarios occur, and there are also coding manual guidelines requiring modifiers. Providing the appropriate modifiers allows medical claims to be processed quickly. However, the incorrect use of modifiers remains a top billing error cited by federal, state, and private payers. Lost revenue, claim rejections and denials, and audit letters are inevitable consequences when you are not utilizing modifiers correctly.

Highlights:

  • Review of modifiers from CPT and HCPCS manuals
  • Identify the E/M only modifiers
  • Overview of Medicare and CPT guidelines for modifier usage
  • Applying modifiers when your provider did not perform the surgery
  • Assigning modifiers for minor and major surgery
  • Appropriate use of modifier 25
  • Learn how modifiers affect reimbursement
  • Avoid common modifier errors

Lynn Anderanin

CPC, CPB, CPMA, CPPM, CPC-I, COSC

Lynn is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area.  She has over 39 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations.  Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars.  Lynn became a CPC in 1993, a Certified Instructor in 2002, a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other committees for the AAPC.

This session instructs on CPT and HCPCS modifiers and addresses both the Medicare and CPT guidelines for correct utilization. Participants will learn how to properly append modifiers and avoid the negative consequences associated with improper use.
No prerequisites required.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

"Good refresher for modifier usage. It educates you on all the various modifiers that are available for your particular coding situations."

"Material is helpful and informative for medical practices. This program is educational and current / up to date."

"Great information on modifiers. It clarified a lot for me."

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