Boost Surgical Modifier Pay-up and Avoid Audit Penalties

CMS auditors recently reported large-scale surgical modifier payment errors. This means that auditors are putting your surgical claims under a microscope. They are hoping to catch your mistakes, help CMS recoup the money paid to you in error – and get their large commission.

Dissecting surgical notices for clues to determine if you should or shouldn’t use a modifier is a massive headache. Give up too soon, and you’ll miss out on the reimbursement you’re due. Surgical modifiers billing.

Choose the wrong modifier, or no modifier, and you’re left with incorrect payments, wasted time resubmitting claims, dealing with an audit, and forced to a pay hefty fine.

You don’t have to fall prey to auditors looking to ferret out surgical modifier errors. Coding training expert Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO can help. Surgical modifiers billing.

During her 60-minute online training, Kim will walk you through how to solve your most complex surgical modifier mysteries. You’ll get clear, easy-to-follow, actionable advice on the proper use of key surgical modifiers (i.e. 79, 51, 59, 22, etc.).

Here are just a few of the surgical modifier application strategies you’ll get by attending this, expert-led 60-minute online training:

  • The magic words that make your modifier justification documentation crystal clear to payers
  • Increase payments by learning to apply surgical modifiers in the correct order—yes, it matters
  • Get paid more with modifier 22 by accurately assessing whether the surgeon has done “additional work”
  • Avoid a denial even when you can’t find a CPT/HCPCS code that fits a procedure exactly
  • Maximize payup by pinpointing the difference between “terminated” and “reduced” services
  • Don’t sell yourself short—learn how to calculate what to charge when using modifier 52
  • Differentiate the tiny surgical modifier descriptor nuances that seriously improve your pay-up
  • Safely use modifiers to bill for services outside of the global surgical package
  • Ensure that co-surgeons get paid fairly by knowing how and when to apply modifier 62
  • Avoid “double dipping” by understanding how modifier can affect—and even restart—global periods
  • Code bilateral procedures correctly with every payer—plus when you must apply an anatomical modifier
  • Ensure correct payments for every single day of postop care when comanaging surgery
  • And so much more!

Although surgical modifiers do give you the opportunity to get paid more for the services you provide, they also add yet another layer of complexity to an already dizzying array of coding choices.

By attending this online training, you’ll learn to efficiently decode even the most complex surgical note, recognize surgical modifier red flags, audit-proof your documentation, and much more.

Surgical modifier mix-ups are easy to make, even for the most experienced coders. Unfortunately, that means you’re probably making costly modifier mistakes, even if you think you’ve got the rules straight. Every practice that bills for major or minor surgical procedures and wants to ethically maximize their reimbursement without worrying about being targeted for an audit can benefit from this training.

Register today to gain access to this must-attend online training! Surgical modifiers billing.

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.