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  Use Of CommonlyUsed Modifiers And How Can We Reduce Denials Through Their Effective Use www.cubehcs.com
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  About Me  Myname is Samra Ilyas.  I have done bachelor's in Commerce.  I have worked in Banaat School System as a teacher.  I have joined cube health care systems on 7th January 2022. 2
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  LEARNING AT CHS 1 What is Medical Billing?  Process of Medical Billing  Medical Terminologies  Submission Process  Errors & Rejections  Eligibility Verifications  Using Different EHR ( EPIC,I health, Practice Fusion etc.)  Basic knowledge about AR and Denials.
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  What is Modifiers Modifiers are two-character suffixes (alpha and /or numeric)that are attached to procedure codes.  CPT modifier are defined by the American medical Association (AMA)  HCPCS Level II modifiers are defined by the center of Medicare and Medicaid services (CMS). 4
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  Why We UseModifiers ▸ Provide additional information. ▸ Avoid bundling issues. ▸ Indicate unusual circumstances. ▸ Document multiple procedure. ▸ Facilitate correct reimbursement. 5
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  Commonly Used Modifiers ▸Modifier -25 Significant, Separately Identifiable E/M Service by the Same Physician on the Same Day ▸ Modifier -50 Bilateral Procedure ▸ Modifier -51 Multiple Procedures ▸ Modifier -57 Decision for Surgery ▸ Modifier -59 Distinct Procedural Service ▸ Modifier -76 Repeat Procedure by Same Physician ▸ Modifier -77 Repeat Procedure by Another Physician ▸ Modifier -95 Synchronous telemedicine service 6
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  Effective Use OfModifiers to Reduce Denials ▸ Revised the coding modifiers annually by payer organizations. ▸ Follow the proper guidelines from AMA. ▸ Proper use the medical necessity for different procedures ▸ Avoid bundled procedures. ▸ Avoid Unnecessary documentation.. ▸ Appended correct modifier where needed like GW for hospice, 95 for telemedicine etc. 7
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  8 THANK YOU! Any questions?