You could be throwing away thousands of dollars every year without knowing it. The culprit? Inappropriate use of coding modifiers.
CPT modifiers are tied to actual dollars in many cases, so if you want to bring in maximum revenue, you must use them correctly. If you forget to assign one, you’re losing money, and if you assign the wrong one and collect anyway, auditors could ask for refunds. How rampant is modifier misuse? One OIG audit found that incorrect modifier 25 use resulted in $538 million in improper payments, while another discovered $5 million in improper modifier 80 claims.
Even if you’re using modifiers every day, that doesn’t necessarily mean you’re assigning them correctly. Many coding courses dedicate less than an hour to modifier use, partly stemming from the fact that in the past, modifiers simply painted a clearer picture of a service provided. Now, however, many modifiers are tied to reimbursement.
Making the matter even more complicated, some states have created their own modifiers that are tied to workers’ compensation claims, while other states require modifiers on nurse practitioner and physician assistant services. The key to collecting every cent you deserve is to master modifier use.
That’s where nationally recognized coding and reimbursement expert Michael Strong MSHCA, MBA, CPC, CEMC comes in. During his one-hour online training, Michael will show you precisely how to use the modifiers that will help you get paid more per visit.
Here are just a few of the practical strategies for using coding modifiers that you’ll receive during this online training:
- Pin down the biggest errors that are keeping practices from collecting for modifier 25 with E/Ms
- Master what qualifies as an “unusual procedural service,” warranting modifier 22
- Calculate how much reimbursement you may be losing by failing to add modifier 59 when justified
- Discover how to split care by masterfully using modifiers 54 and 55
- Uncover how balance billing laws put a greater emphasis on modifiers
- Differentiate modifier 59 from the “X” modifiers for once and for all
- Identify how to sequence “informational” vs. “reimbursement” modifiers to collect more pay
- Untangle the state-level laws around workers’ compensation-specific modifier requirements
- Pinpoint which modifiers are currently being audited by payers (and how to succeed if you’re targeted)
- Master the rules around modifier 26 and the TC modifier to pinpoint which applies to you
- Gain solid advice on whether you should be using modifier 51 or if it’s automatically added by payers
- Identify when modifier 50 should be used, and when the LT and RT modifiers are preferred instead
- Calculate what to charge when you’re using modifier 52 for reduced services
- And much, much more …
The easy-to-use modifier application tactics that Michael will share during this online training will help you code more accurately, reduce denials, and recoup the reimbursement you’ve been losing. You’ll walk away from this training with the tools you need to more accurately identify which modifiers will increase your reimbursement, and which ones cause it to go down.
Don’t wait, reserve your access to this information-packed training today and watch your bottom line take off.
Mike Strong has been working in healthcare for nearly 20 years with payers and providers. He is a former healthcare fraud investigator for the payers with millions in recoveries, a former EMT-B, and a certified coder.
His experience includes commercial, Medicare, Medicaid, workers’ compensation, and auto medical claims. With publications and presentations in healthcare coding and billing, Mike has a diversified background in healthcare reimbursement and payment integrity.