Pain Management Modifier: Inappropriate Use of Modifiers Can Put You at Risk for Potential Fines Modifiers enable the physician to clarify situation in which a procedure or services performed--differs in some way from that described by its usual CPT® code. Picking the right modifiers is imperative in ensuring correct payment for covered services that would otherwise be denied.
DURHAM, N.C., Oct. 28, 2013 /PRNewswire-iReach/ -- Pain management coders often grapple about how to accurately report pain management procedures. Following the implementation of Physician Payment Reform in 1992, modifiers have played a crucial role in Medicare billing process. If you're coding for pain management procedures for providers, chances are you report cases like facet, paravertebral facet, epidural, and nerve injections quite often. You can unlock the secrets of commonly used modifiers in your pain management practice with expert Marvel Hammer in this informative audio conference, where she will shed light on the correct usage of modifier to reduce audit risk and improve reimbursement in pain management procedures.
Choosing the correct modifier in pain management practice is very tricky. With decreased reimbursement and increasing compliance scrutiny, it's important to make use of every available tool to capture revenue and avoid inaccurate-or even fraudulent—pain management procedure billing.
In this session, expert speaker Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, will uncover the secrets over whether to append a modifier and if so, which one. She will also talk about the "Red Flag" modifiers and when is it appropriate to use them.
Areas covered in the session:
- Identify "Red flag" modifiers - which modifiers are they and when is it appropriate to use them?
- Know the Modifier order - what sequence should you use on the claim? It matters …
- Confusing modifiers demystified: The distinction between modifiers 52 and 53.
- Avoid penalties for fraud and abuse when you learn how to correctly use modifier 59.
- Know the key differences in a single digit - modifiers 76, 77, 78 and 79
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These informative audio conferences are presented by AudioEducator.com. Get up-to-the-minute information and advancements on medical and healthcare through revealing conferences, on a wide array of topics, ranging from medical coding, billing, compliance, to CPT changes, E/M Modifiers, OIG work plan, coding for colonoscopies, Radiology, fee schedule, Electronic Health Record system, ICD 10 transition and more. Get trained from the comfort of your home or office, without spending a penny on travel. Pick a medium of your choice, be it a live conference/On Demand/ CD/ PDF transcripts as per convenience.
To learn more about other updates events for more than 20 specialties, please visit 2014 Medical CPT Coding Updates.
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