E/M Modifiers: Make More Money With Less Hassle


E/M modifiers are one of the largest drivers of E/M claim denials, get it right and your E/M denials can be reduced to almost nothing saving you time, and speeding up your payments. Get it wrong, and you could trigger an audit. Both government (RAC, OIG, Medicare) and private payers alike are using E/M modifiers as indicators to drive audits. And trust me, you don’t want to be on their audit radar.

With so much at stake, wouldn’t it be great if you could get someone to just tell you how to apply E/M modifiers correctly in plain English. Each modifier has its own nuance, and without a firm understanding of how to apply these modifiers, you are doomed to a sea of denials and lower-than-deserved reimbursements.

You can finally get the practical, step-by-step information you need to ensure you are correctly applying E/M modifiers from a nationally-recognized coding expert. Deb Grider, CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, CPCD, COBGC, CCS-P, CDIP, will give you the inside scoop on how to more accurately apply E/M modifiers at her recorded training session. And even if you are a coding veteran, you are guaranteed to walk away from Deb’s session with a new tool to boost your reimbursement or cut down on the hassle of fighting denials.

This session will provide you with valuable information packed with the specifics you need to report E/M services—and be paid correctly the first time. Modifiers are the essential tools in the coding process enhancing some codes, explaining details and indicating exceptions to rules in other settings. Below are just a few of the practical, how-to modifier tactics you’ll receive by watching this practical, how-to training session:

• Properly choose between modifier -25 and -57 every time
• Boost preventive services reimbursement with modifier secrets Medicare doesn’t want you to know
• Get paid for more than one services, even when modifiers haven’t worked for you before
• Overcome NP/PA E/M claim denials, and get paid for more of the work they provider
• Reduce your denials by more accurately applying HCPCS E/M modifiers
• And so much more…

Also, Deb highlighted modifier -25 (one of the most complex and misused modifiers). What constitutes “Above and Beyond”? When should you use -25 vs. -24. How do incident-to guidelines affect modifier usage? When you should never use modifier -25? And when you need to be sure you are always using it.

IMPORTANT: Modifier -25 is under constant scrutiny by the OIG, Medicare, Medicaid and many other payers. And since so many practices use this modifier incorrectly, this section of the talk will be worth it on its own.

Every physician, non-physician practitioner, coder and biller should have an solid understanding of E/M modifiers they use to get paid correctly the first time. E/M modifiers are designed to unlock reimbursement, to more accurately pay you for the services your providers perform, but only if you use them correctly. Don’t wait, order this how-to session today.

Meet Your Expert

Deborah Grider
CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIPHealthcare Consultant, KarenZupko & Associates

Deborah is a nationally sought after leader in the industry and is passionate about assisting physicians and hospitals to improve their coding, documentation and business operations to maintain compliance and improve revenue. Her motto is: “Documentation excellence is the key to improving revenue.”

With more than 32 years of healthcare industry experience, Deborah has served as a practice administrator, medical record auditor, and clinical documentation improvement practitioner, as well as a sought after speaker and educator. She works with physicians, hospitals and outpatient facilities both small and large and provides practice assessments, revenue cycle guidance, coding, auditing, CDI development, education and project management. She also provides litigation support to attorneys nationally on behalf of their physician and health system clients.

Deborah is considered a top ICD-10 implementation expert and routinely appears on ICD-10 Monitor’s “Talk Ten Tuesday.” She has provided testimony for the National Committee on Health Care Vital Statistics on ICD-10 implementation and developed the education and training for ICD-10 Implementation for Physicians and Payers for the American Academy of Professional Coders, and the ICD-10 Implementation Training for the Indiana Hospital Association. From 2009-2012, she served on the ICD-10 Stakeholders Committee in Washington, DC advising CMS and HHS of the challenges with ICD-10 Implementation.