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.

Using Modifiers: Unlock the Secrets to Pain Management Procedure Billing

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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Other conferences of the week:

Risk Management In Portfolio Planning For Optimal Drug Development

This informative session is presented by expert Vladimir Shnaydman, Ph.D on Wednesday October 30, 2013, where he will provide a comprehensive view of methodology for portfolio risk analysis based on drugs interdependence and incorporation of risk mitigation strategies. He will talk in length about portfolio simulator as a prime tool for risk analysis, risk mitigation strategies at the portfolio level, and case study illustrating proposed methodology.

Electronic Source Documents in Clinical Trials: Complying with FDA's Requirements

This 60 minute audio session is presented by expert Dr. Mukesh Kumar on Tuesday, October 29, 2013, where he will shed light on the FDA's guidance regarding the use of electronic source documentation, providing direction to sponsors, project managers, data management centers, and clinical site staff on capturing, using, and archiving electronic data in FDA regulated clinical trials. He'll also cover the identification and specification of authorized source data originators, the creation of data element identifiers to facilitate examination of the data audit trail, capture of source data into the EDC, and Investigator responsibilities with respect to reviewing and retaining electronic data.

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.

Media Contact: Adam K, Audio Educator, 1-866-458-2965, customerservice@audioeducator.com

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2014

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