Using Modifiers to Improve Claim Accuracy
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| Instructor: | Linda D'Spain CMPE, CMC, CMIS, CMOM, CMCO, CMCA-E/M |
| Schedule: |
Two instructor-led, 90-minute live online training sessions: May 14, 11:30 a.m. - 1:00 p.m. and May 21, 12 noon to 1:30 p.m. Central (10 a.m. Pacific, 1 p.m. Eastern).
NOTE: Live session attendance is optional. See the materials section below for more information. Sessions are recorded and available in PMI’s Online Training Center 2-4 days after the last recording date. Registrants receive access to the session recordings and digital course manual for 6 months. |
| Online Course Fee: | $199 per person* |
| Target Audience: | This training is for anyone working with a medical office team in an outpatient setting. Managers, clinicians, and office staff are encouraged to attend. |
| Materials: | Registration includes a digital course manual |
| CEUs: |
PMI certified professionals earn 3 CEUs, emailed with certificate of completion |
*This Online Course is not included as part of the Total Access webinar subscription package.
Don’t lose revenue because of modifier misuse, non-use or just to bypass CCI edits! This class will explain modifiers and when it is appropriate to use a modifier to obtain proper payment. Coders, billers, practice managers, charge entry and insurance specialists that deal with appeals will benefit from this course.
Class Highlights:
- Tips for correct use of -X(EPSU) modifiers
- List and explanation of Levels I and II modifiers
- E&M modifiers
- HCPCS modifiers
- Surgical Modifiers
- Guidelines and usage tips
- Negative impacts of modifiers
- Sharpen knowledge of CPT® guidelines related to modifier usage
- Why pricing modifiers are considered part of the seven-digit procedure code by CMS
- Use of modifiers when services are in the global period
- The difference between modifiers 25 & 59 and modifiers 52 & 53
- Inclusion of medical necessity in documentation to support the use of modifiers
- Audit risks and identification of abuse of modifiers as reported by CMS
Continuing Education Units (CEUs)
Earn 3 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).
If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.
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About the Presenter
Linda is President of her medical practice management consulting firm, D'Spain Consulting. She travels the country conducting national seminars, workshops and webinars and consulting with physician practices, hospitals and medical societies on healthcare reimbursement, documentation guidelines, procedural and diagnostic coding, financial management, human resources, medical office management and compliance with fraud and abuse, OSHA, and HIPAA. She has also served as an Independent Review Organization (IRO) for the Office of the Inspector General and consulted for the Texas Medical and Dental Boards.
With more than 30 years of experience in medical practice management, Linda has managed cardiology, cardiothoracic, vascular surgery, physical therapy, orthopedics, pediatric orthopedics, gynecology and reproductive endocrinology and large multispecialty group practices. She maintained broad responsibilities in business and clinical operations, financial management, governance and organizational dynamics, human resource management, marketing, customer service, compliance, information system management, mergers and acquisitions and risk management.
Linda has attained all five PMI certifications. She also has a degree in Business Administration and is a Board Certified Medical Practice Executive through the American College of Medical Practice Executives, a member of the San Antonio Medical Group Managers Association (MGMA) and has served as an advisory board member with PMI.
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