A modifier notifies the carrier that the claim represents a deviation from the "norm." Therefore, before adding modifiers, we should clearly document the medical necessity supporting each modifier. In this session, Beth will use medical records to show us examples of the proper and improper use of modifiers 22, 50, 51, and 59.
Learning Objectives:
Identify Medical Necessity: Participants will be able to determine and document the medical necessity required to support the use of each modifier, ensuring accurate and compliant billing.
Differentiate Modifiers 22, 50, 51, and 59: Participants will gain a clear understanding of the specific criteria and appropriate usage for modifiers 22, 50, 51, and 59, including their differences.
Analyze Proper and Improper Use: Participants will review and analyze examples from medical records to distinguish between correct and incorrect applications of these modifiers.
NAMAS presentations are submitted for approval to the AAPC, and 1 credit hour is requested for Core A and all applicable certifications, including CPMA.
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