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Overcoming 2021 Outpatient Hospital and Physician Modifier Challenges - On-Demand

Product Code: YHHA072121A

Quick Overview

Get a detailed understanding of when and how to report modifiers that have a payment impact for your outpatient facility or physician practice, including the latest regulations and guidance.

Price: $259.00

Overcoming 2021 Outpatient Hospital and Physician Modifier Challenges - On-Demand

Overcoming 2021 Outpatient Hospital and Physician Modifier Challenges - On-Demand

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Available ON-DEMAND

Presented on: 
Wednesday, July 21, 2021 

Presented by: Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS
Robin Linker, CHCRA, CHCA, CHCAS, CPC-I, CCS-P, COC, MCS-P, CPC-P, CHC

Hospital and physician coders and billers are constantly challenged when reporting modifiers. They not only have to address issues with long-standing modifiers, but must also familiarize themselves with updates to NCCI and CPT® reporting guidance. When reported incorrectly, modifiers can misrepresent the work completed by a provider, resulting in potential claim denials and lost revenue. Developing a process for modifier reporting can ease administrative burden and reduce the risk of denials.

During this 90-minute webinar, Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Robin Linker, CHCRA, CHCA, CHCAS, CPC-I, CPC, COC, CPC-P, MCS-P, CHC, will review the proper application of commonly reported E/M and procedural service modifiers. The presentation will include instruction for applying updated regulations and guidance, tips for CPT reporting, and case scenarios for reporting modifiers -25, -51, and -59. It will also cover appropriate application of telehealth CPT modifier -95 and pertinent HCPCS Level II modifiers. Audience members watching live will be able to ask questions during a Q&A session at the end of the presentation.

At the conclusion of this program, participants will be able to:

  • Describe NCCI guidance, including PTP edits and MUEs affecting modifier reporting
  • Determine when to report CPT modifiers for E/M and procedural services  
  • Adhere to CPT guidance for reporting telemedicine modifiers during the COVID-19 public health emergency 


Agenda

  • High-level overview of NCCI edits and their impact on modifier reporting
    • Column One and Column Two Correct Coding edits table
    • Procedure-to-procedure (PTP) edits and Medically Unlikely Edits (MUE) 
  • Commonly reported procedural service and anatomic modifiers
    • Examples for applying modifiers -59, -X{EPSU}, and -51
  • Appropriate use of modifiers -52/-53 and -73/-74 for discontinued services
  • Reporting guidance for visit modifier -25
    • CMS vs. AMA reporting rules
  • Updated 2021 guidance for reporting telemedicine modifiers during the COVID-19 public health emergency
    • CPT modifier -95 and pertinent HCPCS Level II modifiers for telehealth visits
  • Q&A

Who Should Listen?

  • HIM directors and managers
  • Outpatient coding professionals
  • Outpatient CDI professionals
  • Compliance officers
  • Chargemaster coordinators
  • Revenue cycle managers
  • Revenue integrity professionals
  • Nurses and nursing staff
  • Finance staff
  • Clinical staff
  • Freestanding clinic staff
  • Multispecialty clinic staff
  • Physician office staff
  • Practice managers
  • ASC staff

Meet the Speaker

Sarah L. GoodmanSarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, is president/CEO and principal consultant for SLG Inc., in Raleigh, North Carolina. She is a nationally known speaker and author on the charge description master, outpatient facility coding, and billing compliance, and has more than 30 years’ experience in the healthcare industry. Goodman has been actively involved and held leadership roles in several professional organizations on the local, state, and national levels, including the National Association for Healthcare Revenue Integrity.


Robin LinkerRobin Linker, CHCRA, CHCA, CHCAS, CPC-I, CPC, COC, CPC-P, MCS-P, CHC, is a leading nationwide expert in healthcare coding, auditing, education, and documentation. She is the executive director of operations for the Association of Health Care Auditors and Educators and CEO of Robin Linker & Associates, a healthcare consulting firm in Aurora, Colorado. Linker provides consulting, auditing, research, and education in practice management, compliance, and coding for teaching institutions and other large facilities.

Continuing Education

ACDIS
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webinar expires on: 7/20/22

NAHRI
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 855-225-5341 or email customer@decisionhealth.com  if you have questions.