Avoid the Modifier Morass Part 1: The Proper use of Common Modifiers for Medicare Billing

Pricing

Non-ISMS members: $75.00
ISMS members: Free

Course Description

Modifiers 25 and 59 are frequently confused, leading to billing problems for physicians and their patients. Nathan Kennedy, an expert and consultant to physician practices on coding, will help providers differentiate between these problem codes by providing an in-depth discussion of how their effective use.

Learning Objectives

At the conclusion of this learning activity, participants will be able to:

  • Distinguish modifier 25 from modifier 59 and discuss effective use of these commonly confused modifiers
  • Describe the National Correct Coding Initiative, including Medically Unlikely Edits
  • Explain how modifiers 25 and 59 apply to specific coding combinations
  • Discuss other more appropriate modifiers that may be used
  • Discuss problem coding areas with modifiers 25 and 59 and how to resolve them

Disclosures

All faculty, content reviewers and planners who have had input into or contributed to the content have indicated they have no relevant financial relationships with any commercial entities that may have an impact on the activity.

Target Audience

ISMS members and their staff

CME information

ISMS logo

The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

The Illinois State Medical Society designates this internet activity for a maximum of 1.00 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Illinois Nurse Practice Act rules deem CME credit provided by approved sponsors as acceptable to fulfill nursing continuing education requirements for licensure. Nurses may claim one contact hour per unit of CME in the state of Illinois.

Additional information

Estimated time for completion: 
1 hour
Activity last reviewed: 
10/04/2019 - 10:30am
Disclaimer: 

The recommendations contained in this resource are not intended to define conduct that is appropriate in every case, should not be considered as establishing any standard of care, and do not constitute legal advice. Physicians, clinicians and health care providers should take care to ensure that all care rendered reflects the best clinical judgment and complies with the laws and regulations of the state or location at which the care was provided.

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credits™

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

    The Illinois State Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 1.00 Participation Credit
Course opens: 
09/19/2019
Course expires: 
09/19/2022
Cost:
$75.00
Rating: 
0

Nathan Kennedy

Provider Outreach and Education Consultant at National Government Services

Available Credit

  • 1.00 AMA PRA Category 1 Credits™

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

    The Illinois State Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 1.00 Participation Credit

Price

Cost:
$75.00
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ISMS member cost: Free

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