Break Through the Modifier Maze 2013: Step-By-Step Guide to Proper Modifier Assignment (Spiral bound)

Break Through the Modifier Maze: Step-by-step Guide to Proper Modifier Assignment will help you reduce your audit risk and improve reimbursement by showing you how to accurately use modifiers. Using the billing scenarios found in Break Through the Modifier Maze, you'll learn the proper decision-making steps to determine when and how to use modifiers for a variety of common situations. Updated to include 2013 CPTr & HCPCS updates, including changes to modifier 62, this all-in-one resource contains everything you need to know about modifiers and is organized by modifier number so it's easy to find the right modifier (including alternatives that can be used for billing purposes) for CPT, HCPCS Level II and Hospital Outpatient (OPPS) situations. Break Through the Modifier Maze delivers: * Descriptions for all CPT and HCPCS Level II modifiers * Real-life scenarios showing the correct use of modifiers to ease any doubts you have about the accuracy of your claim * Decision trees to follow when determining modifier appropriateness; they take you step-by-step through yes and no questions that result in proper assignment, ensuring full compliance with coding and billing rules * Warnings to the most common modifier errors give you the heads-up needed to understand what can go wrong and avoid these errors in the future * Directions on how to use modifiers with prohibited code-pair edits -- make certain your coding is OIG and RAC-proof * Guidance on bundling and global surgical packages -- and when it's appropriate to insist on payment using modifiers, making certain you receive all the reimbursement you're due Modifiers are an essential part of your practice. When your team understands how and when to use them, you'll see fewer denials and higher reimbursement.