Webinar #6 - Dermatology Surgical Modifiers Demystified - Recording
Webinar - Surgical Modifiers in Dermatology
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Webinar # 6 - Dermatology Surgical Modifiers Coding/Billing

Program length: 1-hour 15 minutes (75 minutes)

Presenter: The speaker for this event is Karl M. Ellzey,CDC, President and Founder of Ellzey Coding Solutions

Date: Recorded Wednesday, June 27, 2018

The recording is also provided to all live-event attendees. The recording is viewable for up to one year to share with staff/providers at your office!

Program Description:

Improper use of modifiers is the #1 source of claim denials! Do you understand all the rules surrounding the proper use of surgical modifiers?

We will demystify the proper use of -22, -50, -51, -52, -53, -58, -59, -76, -78, -79, X{EPSU}, and the anatomic modifiers. You'll learn when it's appropriate to use each modifier, and when they don't apply. We'll also cover some of the variances that exist between the various Medicare contractors and some of the more popular commercial carriers.

After this webinar, you'll have all the tools for success to make sure your claims are coded accurately using modifiers to minimize denials or help clean up your appeals!

Bonus! Webinar attendees that don't currently use our DermCoder.com online coding tool, will also be given a free 30-day trial to access our popular QuickCheck modifier checking tool and other features!

In addition to the 75-minute webinar and comprehensive handout, attendees of the live events will be able so submit Q&A for up to 7 days after the event. Live event attendees will also receive 1.0 CEU from the AAPC. Registered attendee of the recorded sessions must answer a 10-question quiz to receive CEUs.

Who should attend?

This webinar is perfect for all staff including: providers, billing staff, practice administrators, nursing staff, medical assistants, and compliance officers!

Webinar topics: (Download the full webinar agenda here)
Dermatology Modifier Basics...
  • When do you need to apply surgical modifiers?
  • Correct modifier order
  • Modifiers and ICD-10
  • Global (Postop) Periods & Minor/Major Surgical Services
  • E/M vs. Surgical Modifiers (25, 25, 57)
  • Modifier Fact Sheets (where to find them from the Medicare contracts and commercials)
For each of the following modifiers below, in addition to exploring the modifiers in detail, we'll provide coding/billing examples to show how they are applied on a claim.

Modifier 50
- Bilateral Procedures
Modifier LT/RT - Left vs. Right
  • Billing left vs. right vs. bilateral
  • To which codes does the modifier apply to and how does it affect reimbursement?
Modifier 51 - Multiple Procedures
  • What is the multiple surgery reduction rule and to which codes to they apply?
  • Do you need them on claims at all?
  • How the MSRR impacts payments
  • Can you avoid the multiple surgery reductions by using two providers or rescheduling patients?
  • Which codes are reduced and which ones are exempt?
Modifier 59 - Distinct Procedural Service
  • Understanding the National Correct Coding Initiative edit system
  • When adding modifier 59 doesn't work
  • MUEs vs. Add-on vs. PTP Edits
  • What are bundled procedures and when can you use 59 to unbundle?
  • Carriers that don't follow NCCI rules
  • Denials with Modifier 59 - what's the problem?
  • UHC Special Edits beyond the NCCI
Modifiers X{E,P,S,U}
  • Modifier 59 vs. "X' modifiers
  • Are 'X' modifiers required and should you be using them now?
  • Examples and impact on payment!
Modifier 76 - Repeat Procedure by Same Physician
  • Billing codes in units or separate lines and when 76 is needed
  • Which carriers don't like 76 on surgical procedures and what you can do instead?
  • Medically Unlikely Edits (MUEs) and modifier 76
  • Modifier 76 vs. Modifier 59
Postop Modifiers
  • Modifier 58 - Staged Procedure
  • Modifier 78 - Unplanned return to Operating/Procedure Room
  • Modifier 79 - Unrelated Procedure in Postop Period
  • Understanding the Global Period - What's included and what isn't?
Anatomic Modifiers (Digits, Left vs. Right, Eyelids)

Miscellaneous Surgical Modifiers
  • Modifier 22 - Increased Procedural Service
  • Modifier 52 - Reduced Services
  • Modifier 53 - Discontinued Procedure
  • Documentation and billing requirements
  • Impact on payment!

This webinar includes:

  • Recording of actual 75-minute webinar
  • 60+ page detailed handout to follow-along the webinar and to use as a reference afterwards. Not just an outline or copy of the slides!
  • Registered attendee will be provided a web-link after the webinar to re-watch and share with staff/providers after the live event (viewable for up to 1 year). Viewable on PCs, Macs, or tablets
  • A summary of compiled Q&A will be sent to all attendees (live and recorded)

  • 1.0 CEU from AAPC will be awarded to the registered attendee of recorded sessions upon completion (passing) of a 10-question quiz
  • Only 1 CEU per registered attendee.

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