Coding with Modifiers

Coding with Modifiers
Author: Robin L. Linker
Publisher: American Medical Association Press
Total Pages: 0
Release: 2020
Genre: Medical
ISBN: 9781640160378

"Coding with Modifiers, 6th Ed, is the ultimate resource for modifier guidelines. This revised edition provides guidance on how and when to use modifiers in order to avoid costly payment delays and denials. Coding with Modifiers uses real-life modifier scenarios and medical records to guide correct CPT® and HCPCS modifier usage. Modifiers create clear, concise communications between the provider and payer, and are essential to the coding process. Clinical documentation improvement and other pertinent considerations highlight important clinical documentation improvements for each modifier and related best practices to ensure correct modifier usage. Provides guidelines from CPT, CMS, third-party payers, and NCCI to explain how and when to use modifiers to avoid payment delays and denials"--

JustCoding's Guide to Modifiers: Hospital Outpatient Edition

JustCoding's Guide to Modifiers: Hospital Outpatient Edition
Author: Susan E. Garrison
Publisher:
Total Pages: 0
Release: 2015-11-23
Genre:
ISBN: 9781556454837

JustCoding's Guide to Modifiers: Hospital Outpatient Edition Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H Modifiers are a frequent audit target of CMS and the Office of Inspector General, with focused efforts against modifiers such as -25 and -59. JustCoding's Guide to Modifiers: Hospital Outpatient Edition features a comprehensive explanation of when to report each CPT(R)/HCPCS modifier, including coding tips and the latest regulations and guidance. Each chapter contains exercises that let you use real-life documentation, including operative reports and case studies, to test your knowledge on how to apply each modifier. This book will review the most recent guidance for each modifier, with citations from relevant regulatory documents. Table of Contents About the Author 1. Introduction 2. National Correct Coding Initiative Modifiers(Subsections: Modifiers -59, -XE, -XS, -XP, -XU, -58, -76 to -79, and -91)3. Evaluation and Management Modifiers (Subsections: Modifiers -25 and -27) 4. Anatomical Modifiers(Subsections: Modifiers -50, -RT, -LT, -E1 to -E4, -F1 to -F9, -FA, -LC, -LD, -LM, -RC, -RI, -T1 to -T9, and -TA)5. Reduced/Discontinued Services Modifiers (Subsections: Modifiers -52, -53, -73, and -74) 6. Medical Necessity Modifiers(Subsections: Modifiers -GA, -GX, -GY, and -GZ)7. Screening Services Modifiers(Subsections: Modifiers -GG and -PT)8. Outpatient Therapy Modifiers(Subsections: Modifiers -GN to -GP and -KX)9. Miscellaneous Modifiers(Subsections: Modifiers -CA, -ET, -JW, and -PA to -PC)10. Modifier Coding Compliance Quiz 11. Answer Key Benefits: Properly use modifiers to prevent audits Reduce confusion about when to use modifiers Get coding tips to clarify regulatory guidance and provide examples of which modifiers apply in different situations Access case studies and operative reports to test your knowledge of modifiers

Coding With Modifers

Coding With Modifers
Author: Deborah J. Grider
Publisher: American Medical Association Press
Total Pages: 508
Release: 2006-04-30
Genre: Medical
ISBN: 9781579477714

This fully updated second edition expands on the instruction given in the prior edition and provides powerful new tools to aid in modifier instruction. New to this edition Updated listing of all new and changed CPT(r) and HCPCS Level II Modifiers CD-ROM-Contains PowerPoint(r) presentations for each chapter and test-your-knowledge quizzes to aid instructors and self-directed learning New chapter and appendix on genetic testing modifiers and Category II modifiers 45 new clinical examples and 30 additional assessment questions-More than 190 questions in all. Tests and builds readers' comprehension of the material Plus, successful features from prior edition CMS, third-party payer and AMA modifier guidelines-Learn how to code accurately and avoid payment delays Decision-tree flow charts-Guide readers in choosing the correct modifier Modifiers approved for hospitals and ASCs.

Coding with Modifiers

Coding with Modifiers
Author: Deborah J. Grider
Publisher: American Medical Association Press
Total Pages: 0
Release: 2013-10-30
Genre: Nosology
ISBN: 9781603598934

Modifiers create clear, concise communications between the provider and payer, and are essential to the coding process. This fifth edition provides guidance on how and when to use modifiers in order to avoid costly payment delay and denials. New to this edition is a new chapter using real-life cases that contain modifier usage. These cases will help build usage skills and aid in the correct use of CPT(R) and HCPCS modifiers. Features and Benefits - New chapter -- modifier scenarios using real medical record patient encounters to build modifier usage skills - Coding tips -- explains how to use specific modifiers to clear up confusion around modifier usage - Modifiers approved for hospitals and ASCs -- provide information for professional service and hospital reporting requirements - Teaching tools -- enable content testing using AMA-developed questions and answers - Test-Your-Knowledge questions -- nearly 200 test questions to help determine comprehension of the material

Ingenix Coding Lab

Ingenix Coding Lab
Author: Ingenix
Publisher: Delmar Thomson Learning
Total Pages:
Release: 2003-12
Genre:
ISBN: 9781563374364

The most comprehensive resource for CPT. and HCPCS Level II modifiers on the market. This best-selling guide gives you the tools you need to apply modifiers accurately and avoid payment delays and denials.

Coding with Modifiers

Coding with Modifiers
Author: Deborah J. Grider
Publisher: American Medical Association Press
Total Pages: 0
Release: 2007
Genre: Nosology
ISBN: 9781579478896

This third edition contains updated CMS, third-party payer and AMA modifier guidelines to assist in coding accurately. Features new to this edition include: a teaching tool which gives instructors the ability to create and administer tests; and new clinical examples.

Coding with Modifiers

Coding with Modifiers
Author: Deborah J. Grider
Publisher: American Medical Association Press
Total Pages: 436
Release: 2004
Genre: Business & Economics
ISBN:

Don't forget about the modifier. Missing or incorrect usage of modifiers is the most common reason that claims are rejected by payors. Leave off a modifier, or put in the wrong one, and your claim may be denied or paid the wrong amount. Coding with Modifiers: A Guide to Correct CPT and HCPCS Level II Modifier Usage provides step-by-step guidance for the proper use of CPT and HCPCS modifiers. Also included are specific requirements for modifier usage in both professional service and hospital reporting.

Coders' Dictionary & Reference Guide - First Edition

Coders' Dictionary & Reference Guide - First Edition
Author: AAPC
Publisher: AAPC
Total Pages: 18
Release: 2020-06-30
Genre: Medical
ISBN: 1626889813

Finding the coding and billing information you need just got easier. The Coders’ Dictionary & Reference Guide is the perfect companion for coding and billing students and busy professionals. This unique resource, designed for your everyday use, provides a complete reference library in one convenient and affordable volume. Now you can clear the pile of books from your desk and find all the supporting information you need for medical billing and coding. Boost your productivity with fingertip-access to medical terms and industry acronyms. Double-check your modifier usage. Find quick answers to your E/M, anesthesia, and surgery coding questions. Refer to educational illustrations and solidify your reporting know-how with essential lay terms. Speed up your workflow with these beneficial features: Exhaustive list of thousands of medical terms with definitions in an easy-to-understand language Billing, coding and reimbursement terms defined to familiarize you with current regulations, requirements, processes, and agencies How-to guidance for coding procedures from the Surgery section, with explanations of common terms Evaluation and Management (E/M) Survival Guideto help you identify the right choice for E/M service levels Anesthesia primer to distinguish between various types of anesthesia Modifiers and lay descriptions for CPT®and HCPCS modifiers in plain English to eliminate your confusion as to when and how to apply modifiers Lists of prefixes, suffixes, abbreviations, and eponyms frequently used in coding Anatomical illustrations to enhance your understanding of services and procedures Place of service(POS) and type of service (TOS) lists And much more!

Coders' Specialty Guide 2024: Dermatology/ Plastics

Coders' Specialty Guide 2024: Dermatology/ Plastics
Author: AAPC
Publisher: AAPC
Total Pages: 18
Release: 2024-01-31
Genre: Medical
ISBN: 1646319222

Every second counts in your coding world. That’s why we lay out all the details you need to code accurately — and quickly — in the Coders' Specialty Guide 2024: Dermatology & Plastics. With this reliable, go-to resource, you can conveniently find all the essential information about a code — ICD-10 cross references, RVUs, anatomical and procedural illustrations, and revenue-boosting coding and billing guidance. Plus, a description of the procedure in easy-to-understand terms, so you can confidently translate your providers’ notes into the correct codes. Denial-proof your claims with fingertip-access to the essentials with these features: Dermatology and plastics CPT® codes, including 2024 new and revised codes Official descriptors for Category I-III CPT® codes Easy-to-follow lay term explanations of how physicians perform each procedure Expert coding and billing tips for assigning specific CPT® codes Medicare reimbursement rates for physicians and hospitals with facility and non-facility RVUs Modifier crosswalks showing applicable modifiers for CPT® codes Pre-, post-, and intra-operative procedure indicators NCCI edits to check bundling problems Save time and boost your revenue with coding advantages like: ICD-10-CM-to-CPT® crosswalks to pin down medical necessity and secure maximum reimbursement Complete code index with associated page numbers for quick and easy searches Dictionary-style headers for quick navigation Detailed anatomical illustrations And so much more! *CPT® is a registered trademark of the American Medical Association.

Optum Learning

Optum Learning
Author: Ingenix/Optum
Publisher:
Total Pages: 0
Release: 2012-12
Genre:
ISBN: 9781601516763