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2019 Modifier Answers

Product Code: DHMPBMODAN19

Quick Overview

Ensure your team understands how to use modifiers to prevent denials and protect proper reimbursement.


ISBN 978-1-68308-763-2
Pages 152
Publication Date Oct 29, 2018

Price: $177.50

2019 Modifier Answers

2019 Modifier Answers

Ensure your team understands how to use modifiers to prevent denials and protect proper reimbursement. With Modifier Answers, you’ll get guidance on all CPT® modifiers – including 24, 25, 59 and 76 – and instruction on when to use them and when not to use them. Plus decision trees will give you a step-by-step process to understand proper modifier use. You’ll also get guidance on complicated HCPCS level II modifiers, such as discarded drug modifier JW and the advance beneficiary notice of noncoverage modifiers (GA, GZ, GY and GZ).

New and improved for 2019! Features now include:

  • New charts show claims patterns for 12 of the most commonly reported modifiers. The 14 charts convey Medicare claims data to add a layer of analysis to some of the frequent fliers, including E/M and global-period modifiers. The charts detail the CPT and HCPCS codes most frequently reported with the modifiers and reveal use rates over multi-year periods.
  • Added guidance on core modifiers, including a big shake-up to modifier 25 that CMS has proposed and critical updates to the modifier 59 section from the latest Correct Coding Initiative release.
  • Fresh Q&As and coding compliance. In addition to the book's comprehensive modifier coverage, you'll find updated tips on E/M modifiers 24 and 25 and fresh guidance on surgical modifiers 76 and 77 and an array of others, including advance beneficiary notice modifiers.