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.
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Don't forget about the modifier. Missing or incorrect usage of modifiers is the most common reason claims are rejected by payers. Leave off a modifier, or put in the wrong one, and your claim may be denied or paid incorrectly. Coding with Modifiers provides step-by-step guidance for the proper use of CPT and HCPCS Level II modifiers. Also included are specific requirements for modifier usage in both professional and hospital reporting. Inside you'll find:
-Information directly from the source. The AMA's CPT nomenclature uses modifiers as an integral part of its structure.
-Organized by modifier. Makes learning correct modifier coding easier.
-Both AMA and CMS modifier guidelines. Guidelines are designated with a symbol for easy identification and understanding of each interpretation.
-Decision Tree Flow Charts. Lead to determination of the correct code modifier
-Real-life clinical examples and definitions for each modifier. Helps you know if a modifier is being used correctly.
-Chapter exercise and test-your-knowledge quizzes. Ensure understanding of the material.
-Midterm and final examinations. Provided in a variety of formats to facilitate learning.
-Coding Tips. Provide hints on correct modifier usage.
-Hospital and Ambulatory Surgery Centers reporting requirements. A special section is dedicated to modifiers approved for hospitals and ambulatory surgery centers.
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