Modifiers -52, -73, and -74: Ensure Proper Coding at the Point of Care (Audio Conference)

Modifiers -52, -73, and -74: Ensure Proper Coding at the Point of Care

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AUDIOCONFERENCE ON TAPE

sponsored by The Modifier Clinic: A Guide to Hospital Outpatient Challenges, Second Edition

presented on February 2, 2006

Not only your coding staff, but your clinical personnel, needs to understand the guidelines and how to code hospital modifiers -52, -73, and -74 correctly. If these modifiers aren't used properly you risk:

• losing reimbursement you deserve
• under- and over-coding discontinued procedures, with and without anesthesia
• failing to meet compliance standards
• suffering OIG scrutiny of your programs and processes
• burdening patients with unnecessary financial hardship

DON'T PUT YOURSELF—OR YOUR HOSPITAL—UNDER THAT PRESSURE.

Listen to noted speakers Lolita Jones and Susan Garrison for "Modifiers -52, -73, and -74: Coding at the Point of Care," an intermediate-level 90-minute audioconference and learn how to master the complexities and ensure that your clinical staff use them correctly. Our speakers will:

• cover the latest CPT and APC changes, including reduced payment for procedures with modifier -52
• show both HIM and clinical staff how to capture and bill every appropriate charge to get the revenue your facility deserves
• define anesthesia using the latest CMS guidelines
• discuss common coding errors and sources of claim denials
• outline Medicare vs. non-Medicare payers and billing differences

The program will explore GI endoscopy and interventional radiology coding, two of the most confusing clinical scenarios for properly appending these modifiers. When you understand how to use modifiers in these two scenarios, it will be much easier to understand how to apply them across the board.

As a bonus, you receive

• a snapshot comparison chart of these problem modifiers and their payment deduction allowances so you can measure their financial impact
• a sample modifier management report
• several articles of interest to help educate colleagues on this important topic

Note: Participants should have a basic knowledge of modifiers -52, -73, and -74.

PROGRAM AGENDA

1. Previous/former guidelines for reporting the modifiers
2. Current official guidelines-the changes and what they mean
3. OPPS 2006 issues-what to expect
4. Review of GI endoscopy
   • Guidelines
   • Operational issues
   • Case studies
5. Interventional radiology
   • Guidelines
   • Operational issues
   • Case studies
6. Summary
   • Data mining
   • Reporting
7. Question-and-answer session

At the conclusion of the program you will understand

• the official requirements for hospitals to correctly report the modifiers
• the proper way for clinical staff to use modifiers at the point of care
• information on how to apply the guidelines to real-life cases
• tips to implement internal policies within your facility to comply with the guidelines and to help with self-monitoring
• the financial implications for discontinued device-dependent procedures

Purchase a tape or CD of the program and listen when you can. It's a perfect training tool for new staff or as a refresher for veteran staff.

MEET THE SPEAKERS

Susan Garrison, CPC, CHC, CPC-H, CCS-P, CPAR, is vice president of healthcare consulting services with Magnus Confidential. She has more than 25 years of experience in healthcare management, including the areas of documentation, coding, billing, and reimbursement for both outpatient hospital and physician services. Previously, she was responsible for 3M Consulting's Outpatient Coding Validation and Education Services. She has conducted hundreds of engagements at hospitals across the country to improve hospital and physician compliance and reimbursement.

Lolita M. Jones, RHIA, CCS, is the principal of Lolita M. Jones Consulting Services and is the vice president of educational programs for Medical Marketing Resources, Inc. of Fort Washington, MD. She is the author of two editions of HCPro's The Modifier Clinic: A Guide to Hospital Outpatient Challenges, and has authored a column on appropriate modifier use for the monthly newsletter Briefings on APCs for the last five years. She has over 15 years of experience in publishing, training, and auditing for the hospital outpatient and freestanding ambulatory surgery center markets.

WHO SHOULD LISTEN

HIM managers, directors, and coding/billing staff; chargemaster coordinators; compliance officers and managers; financial analysts, cost accountants, and business office staff; radiology and interventional radiology managers and directors; and GI lab administrative and clinical staff.

PROGRAM MATERIALS

Program materials will be provided with PDF links.

Publisher :  HCPro, Inc
 
Product Types :

• Audio Conferences

Departments :

• Other Health Information Management Products

ORDER CLASS: H_02-02-2006
SOURCE CODE: EHCM