Coding With Modifiers: A Guide to Correct CPT and HCPCS Modifier Usage

The new third edition contains updated CMS, third-party payer and AMA modifier guidelines to assist in coding accurately. This edition contains updated CMS, third party payer, and AMA modifier guidelines to assist in coding accurately and avoiding payment delays.

New to this edition:

* New teaching tool - Gives instructors the ability to create and administer tests
* New clinical examples - Guide readers in determining the correct modifier to use
* Additional Test-Your-Knowledge questions - Test your comprehension of the material through more than 190 questions

Plus, successful features from prior edition:

* Modifiers approved for hospitals and ASCs - Information for professional service and hospital reporting requirements
* Coding tips for using specific modifiers - Helps to clear up confusion surrounding modifier usage
* Decision Tree Flow Charts - Guides you in choosing the correct modifier to use

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.