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Format: On-Demand Webinar
Presenter: Edna Maldonado, CPC, ACS-UR
Time: You can access the webinar anytime
Duration: 60 minutes
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Are you struggling to get your healthcare claims reimbursed? Join this webinar to learn the essential skills of using modifiers correctly. Our expert speaker Edna Maldonado, CPC, ACS-UR, will guide you through coding examples and clarify the hierarchy of modifiers when multiple modifiers are needed for the same encounter. Learn when to append modifiers, the difference between payment and informational modifiers, which ones to use, and the order to use them in. Don’t miss out on this opportunity to ensure appropriate payment for the health care services you provide. This webinar will provide a well round explanation on the proper use of modifiers, explain the difference between informational and payment modifiers and what modifier to use to get reimbursement faster.

Learning Objectives

  • Understand Proper use of modifier to communicate with carriers
  • Describe coding information to use in everyday practice
  • Apply proper coding for faster reimbursement
  • Identify CAT I and HCPCS modifiers
  • Know the reimbursement differences when modifiers are used
  • Review current documentation to determine changes that need to be made
  • Learn the NCCI guidelines on the appropriate use of modifiers
  • Be able to apply the correct modifier(s) based on the specific circumstances
  • Learn how to properly resolve NCCI edits including a breakdown of -59 and associated -X modifiers
  • Proper use of modifier 25, especially in the office or outpatient setting
  • Understanding the Modifier 57/54 combination

Areas Covered in the Session

  • How Modifiers affect Reimbursement
  • The Importance of Modifiers
    • Critical Roles in Medical Coding
    • Clarification and Adding Context
    • Optimize Reimbursement
    • Payer Policies and Regulations
    • Defend Underpayment or Overpayment
    • Unbundling
  • Evaluation and Management (E&M) Modifiers
  • Modifier 24 – Appropriate Use
  • Modifier 24 – Inappropriate Use
  • Modifier 25 – Appropriate Use
  • Modifier 25 – Inappropriate Use
  • Modifier 57 – Appropriate Use
  • Modifier 57 – Inappropriate Use
  • Surgical Modifiers
  • Proper Use of Modifier 22
  • Modifier 50 – Appropriate Use
  • Modifier 50 Inappropriate Use
  • Modifier 52 – Appropriate Use
  • Modifier 52 – Inappropriate Use
  • Modifier 53 – Appropriate Use
  • Modifier 53 – Inappropriate Use
  • Modifier 58 – Appropriate Use
  • Modifier 58 – Inappropriate Use
  • Modifier 59 – Appropriate Use
  • Modifier 59 – Inappropriate Use
  • Modifier 73 – Appropriate Use
  • Modifier 74 – Inappropriate Use
  • ABN Modifiers
    • Modifier GA
    • Modifier GX
    • Modifier GY
    • Modifier GZ

Suggested Attendees

  • Healthcare Administrators
  • Healthcare providers
  • Physicians
  • Coders
  • Billers
  • Managers
  • Residents
  • Claims adjusters
  • Nurses
  • APPs
  • Residents
  • Reimbursement Staff
  • Medical Officers
  • Clinic Managers
  • Insurance Company Claims Reviewers
  • Insurance Payers
  • Payment Policymakers
  • Other Healthcare Providers

About the Presenter

Ms. Edna R. Maldonado is a Certified Professional Coder (CPC), Board of Medical Specialty Coding & Compliance (ACS-Urology) and AHIMA ICD-10-CM Trainer. Edna R. Maldonado, CPC, is a bilingual health care management professional that has specialized in urology coding, billing, and training for over 30 years. Her training skills are unmatched, and she has used them to train several coders new to urology to staff AUA’s Coding Hotline. She has also trained and prepared coders for the CPC coding examination. Her leadership extends beyond training, she has also assisted new coders with goal setting, and she has mentored several coders who have moved on to higher positions in urology coding.

Ms. Maldonado’s ambition and drive has elevated her to an expert level in the field of urology coding. She holds herself to the highest standards of professionalism and confidence. She is dedicated to representing her organization and herself in a stellar light by always providing superior results. She is currently the Chair for the Practice Administration Work Group (PAWG) for the AUA, serving as Co-Course Director for the two-day annual Coding Seminar held by the AUA. Ms. Maldonado is an AAPC Officer for her Local Chapter, Frederick, MD.

Ms. Maldonado’s career in urology began in 1990 at Florida Urology Partners (formerly known as Town & Country Urology) where she was hired to manage a busy urology practice by the original owner, Servando Sanchez, M.D. During her time there, Ms. Maldonado was an effective leader with creative skills in interpersonal communications, organizational techniques and problem solving that she used to motivate and to cultivate a diverse staff of eleven. Her time there prepared her for a great opportunity to relocate and join a premier urologic association, providing invaluable support to the urologic community-the American Urological Association (AUA).

Since joining the AUA in 2010, Ms. Maldonado has become a respected and renowned expert in the field of urology coding. She has developed a multitude of urology coding training materials and training techniques for teaching urology coding. As a urology coding trainer, Ms. Maldonado has developed, designed, and recorded content for urology coding CDs, webinars, and virtual training. As an instructor, Ms. Maldonado has been a lead faculty member for urology coding courses including 30 two-day coding seminars, 27 customized coding seminars and over6 conference coding courses.

Snippet From Our Previous Session

Course Content

You can access all the webinar materials after successful payment for life-time

  • Webinar Link + Handouts PDF
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