(Medical Claim) Modifiers: Complying with Payer Variations 2013

Key Topics

• Units vs modifiers: Proper billing methods for multiples
• What to do when an insurer’s modifier policy contradicts a CPT® modifier guideline
• Proper usage of modifier 59
• Cigna’s therapeutic injection policy
• How to tell when to use modifier 52 versus modifier 53
• Influenza testing and correct reporting to maximize allowed reimbursement
• Questions to ask before appending modifier 25
• Global fracture care components
• Avoiding global day denials by selecting the correct modifier
• Follow-up fracture care coding options
• Steps to take for handling service/procedure bundle denials

Who should Attend

• Coders
• Compliance directors
• Office managers
• Physicians
• Physician assistants
• Nurse practitioners
• Auditors
• Consultants
• Educators
• Payers