Coding With Modifers: A Guide to Correct Cpt And Hcpcs Modifier Usage

Aimed at those training for careers as medical coding professionals, this textbook introduces the principles of correct CPT and HCPCS modifier usage. Each of ten chapters uses clinical examples to provide step-by-step guidance on a particular modifier. The second edition features a new chapter and appendix on genetic testing modifiers. The Windows- and Macintosh- compatible CD-ROM contains PowerPoint presentations and quizzes for each chapter. Annotation ©2006 Book News, Inc., Portland, OR (booknews.com)

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.