Modifier -59 Myths Busted: A Case Study Approach to Correct Use

Product Description:

AUDIO CONFERENCE ON CD OR ON-DEMAND

Sponsored by Briefings on APCs

presented on May 18, 2010

Misusing modifier -59 can lead to compliance risks and lost revenue. During this 90-minute audio conference, our expert speakers use case studies to debunk common myths that surround proper use of modifier -59. They will tell you when to use modifier -59, when not to, and most importantly, why. Purchasers should have a basic familiarity with the concepts of CPT coding.

LEARNING OBJECTIVES

At the conclusion of this audio conference, you will be able to:

  • Explain the logic behind the edits
  • Determine which code should be modified
  • Explain the importance of correct usage of modifier -59
  • Evaluate areas that could be audited by outside agencies
  • Determine when to use the modifier to bypass edits

TAKE A LOOK AT THE AGENDA:

  • Fact, fiction, and case studies
    • Bypassing edits
    • Add-on codes
    • Assumption of guaranteed payment
    • Last-choice modifier
    • Selecting which code to modify
    • Risk for outside audits
    • Billing modifier -59 and modifier -51 together
  • Tips and suggestions for correct use of modifier -59

A question and answer session follows the presentation.

BONUS TOOLS MATERIALS

In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials. These materials are provided with PDF links.

SPEAKERS

Susan E. Garrison, CHCA, CHC, CCS-P, CPC, CPC-H, PCS, FCS, CPAR, is executive vice president of Healthcare Consulting Services at Med Law Advisors in Atlanta, GA. Garrison 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.

Peggy Blue, MPH, CPC, CCS-P, is the lead instructor for the Medicare Boot Camp®–Professional Services Version and is an instructor for the Certified Coder Boot Camp® and the Certified Coder Boot Camp® Online. Prior to joining HCPro, she oversaw the development, implementation, dissemination, and reporting of information related to Medicare professional services training efforts for Highmark Medicare Services.

WHO SHOULD LISTEN?

HIM managers and staff; outpatient coders; billing managers and staff, patient financial services, ancillary services department, revenue cycle managers, compliance managers and staff.

AUDIO ON-DEMAND

In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player.Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

 

Save money when you purchase multiple copies! Ask your customer service representative about money-saving discounts and bulk orders. Call toll free 800-650-6787 or e-mail customerservice@hcpro.com.
Publisher :  HCPro, Inc
 
Product Types : Departments :
Misusing modifier -59 can lead to compliance risks and lost revenue. During this 90-minute audio conference, our expert speakers use case studies to debunk common myths that surround proper use of modifier -59. They will tell you when to use modifier -59, when not to, and most importantly, why. Participants should have a basic familiarity with the concepts of CPT coding.
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