Modifier -59 Case Studies: Clarify Common Coding Confusion
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by Briefings on APCs
Presented on Tuesday, April 26, 2011
Modifier -59 is a perennial problem area for outpatient coders. It shouldn't be viewed as a way to guarantee payment but rather as a way to identify unique situations. Misuse of modifier -59 continues and remains a compliance risk.
During this 90-minute audio conference, our expert speakers will present examples and case studies to demonstrate the correct—and incorrect—use of modifier -59.
Note: This is an intermediate-level program. Participants should have an understanding of outpatient coding, billing, and general modifier use.
LEARNING OBJECTIVES
At the end of the program, you will be able to:
- Describe the correct use of modifier -59
- Identify cases where other modifiers should be used instead of modifier -59
- Explain when it is appropriate to override NCCI edits
- Evaluate your organization’s audit risk
THE AGENDA
- Modifier -59 overview
- Guidelines for use
- RAC target areas
- Case studies
- Radiology
- Laboratory
- Medicine
- Surgery
- A live question and answer session follows the presentation
MEET THE SPEAKERS
Susan E. Garrison, CHCA, CHC, CCS-P, CPC, CPC-H, PCS, FCS, CPAR, is executive vice president of Healthcare Consulting Services at Magnus Confidential 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.
Sarah L. Goodman, MBA, CHCAF, CPC-H, CCP, FCS, is president/CEO and principal consultant for SLG, Inc., of Raleigh, NC. She has more than 28 years experience in the healthcare industry and is a nationally known speaker and author on the charge description master, CPT®/HCPCS coding, and billing compliance.
CONTINUING EDUCATION CREDITS
AAPC: This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
AHIMA: This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
WHO SHOULD LISTEN?
HIM managers and directors, outpatient coding managers and staff, compliance staff, chargemaster coordinators, finance staff, ancillary staff responsible for appending modifiers.
AUDIO ON-DEMAND
In addition to the regular participation options for HCPro audio conferences—live, CD, or combination packages—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. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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