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Panelists

• Angela Clements, CPC, CPMA, CEMC, CCS
• Angela Branson-Atkins, CPC, CPCO, CPB, CPMA, RCMS, CASCC, CEMC
• Kellie Nienajadly, CPC, CANPC, CASCC
• Crystal Tompkins, CPC, CDEO, CPB, CPMA, CRC, RCMS, COBGC, Approved-Instructor

Learn more about this event

Coding modifiers help tell the story of what services were provided to a patient and why they should be reimbursed together when multiple services are given on the same day. Modifiers are used every day in coding, auditing and billing services for most specialties. Surgical procedures, anesthesia services, and office visits are types of services that may often require a modifier, depending on the documentation and work performed. Do you know how to determine if one is needed and which one should be reported?

It can be difficult to know whether a modifier is needed and how to determine which is appropriate when there are similar modifier descriptions. National Correct Coding Initiative (NCCI) edits can be confusing. When should you unbundle services to report them together and which modifier is best to use? Which CPT does the modifier go on? Incident-To, Telehealth and Office Evaluation and Management services have their own modifier needs. Join us for the Ask & Learn: Mind Your Modifiers to get clarification on these and other questions that may be on your mind.

Here are some examples of questions that will be answered. Come with your own questions to ask the Panel as well!

• When a physician medically directs 3 CRNAs concurrently (overlapping times), how are the anesthesia services reported for both the physician and the CRNA’s work?
• What is the difference between modifiers GC and GE?
• When do you use modifier 59 vs modifier 51?
• What is the ideal situation for using modifier 24?
• Can I use modifier 50 if the left thumb is injected and the right ring finger is injected?

Why is this topic important?

Modifiers can impact reimbursement but it’s imperative to know when to use them appropriately, if at all. Missed or inappropriate modifiers can, at best, negatively impact reimbursement and, at worst, create compliance concerns and require refunding and/or penalties. It’s very important to understand the rules for them to report correctly and get reimbursed for everything we are entitled to based on coding rules and the physician’s signed documentation.

Who would benefit from this topic?

Coders, auditors and billers of all specialties would benefit from this Ask & Learn. Newly credentialed/student coders will gain knowledge and veterans will be able to confirm their understanding and ask questions about any concerning scenarios they have encountered.