2020 Modifier Update: Guidance for Effective Hospital Reporting - On-Demand

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2020 Modifier Update: Guidance for Effective Hospital Reporting - On-Demand

Product Code: YHHA063020A

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2020 Modifier Update: Guidance for Effective Hospital Reporting - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, June 30, 2020

Presented by:Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC

Hospital coders and billers must familiarize themselves with numerous new details for reporting modifiers in 2020 as a result of updates to NCCI and CPT® reporting guidance and regulations in the 2020 OPPS final rule.

Developing a process for reporting these modifiers can ease administrative burden and reduce your facility’s risk of claim denials. When reported incorrectly, modifiers can misrepresent the work completed by a provider, resulting in potential denials and lost revenue for a hospital or physician practice.

During this 90-minute webinar, Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, will review the proper application of commonly reported E/M, anatomic, and procedural service modifiers. Their presentation will include instruction for applying updated regulations and guidance, tips for CPT reporting, and case scenarios for reporting modifiers -58, -25, and -27, and modifiers -X{EPSU}. It will also cover OPPS changes impacting payment for modifiers -PO and -PN, and new guidance for reporting physician modifiers associated with telehealth visits during the novel coronavirus (COVID-19) public health emergency. Audience members will be able to ask questions during a live Q&A session at the end of the presentation.

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

  • Describe NCCI guidance including PTP edits and MUEs affecting modifier reporting
  • Determine when to report CPT modifiers for E/M and procedural services  
  • Explain 2020 OPPS updates impacting reporting and payment for hospital modifiers
  • Adhere to CPT guidance for reporting telemedicine modifiers during the COVID-19 public health emergency


Agenda

  • High-level overview of NCCI edits and their impact on modifier reporting
    • Column One and Column Two Correct Coding Edits table
    • Procedure-to-procedure (PTP) edits and Medically Unlikely Edits (MUE) 
    • Appropriate application of the -X{EPSU} modifiers, including latest reporting guidance
  • E/M and screening service modifiers
    • Clinical scenarios for reporting visit modifiers -25 and -27
    • ED and hospital-based clinic examples
  • Commonly reported procedural service and anatomic modifiers
    • Examples of how to apply modifiers -LT, -RT, -50
    • Guidance for overriding PTP edits and MUEs with modifiers -76 and -77
    • Use of modifier -58 in the outpatient setting
  • OPPS changes impacting reporting and payment for hospital modifiers
    • Appropriate billing of excepted/non-excepted service modifiers -PO and -PN
    • Changes to the inpatient-only list for 2020 and impact on reporting modifier -CA
  • Updated guidance for reporting telemedicine modifiers during the COVID-19 public health emergency
    • CPT modifier -95 for telehealth visits
    • HCPCS Level II modifiers -CR, -G0, -GQ, and -GT
  • Live Q&A

Who Should Listen?

  • HIM directors and managers
  • Outpatient coding professionals
  • Outpatient CDI professionals
  • Compliance officers
  • Chargemaster coordinators
  • Revenue cycle managers
  • Revenue integrity professionals
  • Nurses and nursing staff
  • Finance staff
  • Clinical staff

Meet the Speakers

Sarah Goodman

Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, is president/CEO and principal consultant for SLG Inc., in Raleigh, North Carolina. She is a nationally known speaker and author on the charge description master, outpatient facility coding, and billing compliance, and has more than 30 years’ experience in the healthcare industry. Goodman has been actively involved and held leadership roles in several professional organizations on the local, state, and national levels, including the National Association for Healthcare Revenue Integrity.

Susan Garrison

Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, is executive vice president of Healthcare Consulting Services at Med Law Advisors in Atlanta. Garrison has more than 25 years of experience in healthcare management, including documentation, coding, billing, and reimbursement for both outpatient hospital and physician services. She has conducted hundreds of engagements at hospitals across the country to improve hospital and physician compliance and reimbursement. She also worked for Medicare in Georgia for 12 years. Garrison is the executive director of compliance for the Association of Health Care Auditors and Educators, past president of the AAPC’s National Advisory Board, and past chair for the ACMCS.


Continuing Education

AAPC
This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webinar expires on: 6/30/21

Association of Clinical Documentation Integrity Specialists (ACDIS)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webinar expires on: 6/30/21

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

 

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.