Avoid Mistakes With Modifiers -25 and -59: As Practices Rebound, Maintain Your Earned Revenue - On-Demand

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Avoid Mistakes With Modifiers -25 and -59: As Practices Rebound, Maintain Your Earned Revenue - On-Demand

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Avoid Mistakes With Modifiers -25 and -59: As Practices Rebound, Maintain Your Earned Revenue - On-Demand

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Availabe On-DEMAND

Presented Live on: Tuesday, July 28, 2020 

Presented by: Alicia Shickle, AHFI, CHC, CPCO, CPC, CPMA, CPPM, CRC

Modifiers -25 and -59 are two of the most misunderstood and highly scrutinized payment modifiers. Failure to grasp the finer points of reporting the commonly used E/M modifier (-25) and procedure modifier (-59) can leave you open to costly audits and claims denials.

As COVID-19 abates and medical practices return to providing a significant volume of E/M services and in-office procedures, it’s paramount that you strengthen your modifier skills to ensure you’re not losing out on earned revenue.

During this 60-minute training session, you’ll gain clear direction on the rules surrounding accurate modifier -25 and -59 use, as well as a series of documentation examples to bring home the correct coding of these oft-used and oft-denied modifiers.

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

  • Demonstrate accurate and consistent knowledge of modifier -25 and -59 claims reporting
  • Implement a system to maintain earned revenue for your same-day E/M claims (-25) and procedure claims (-59)
  • Understand how to avoid common payer challenges and keep your modifier-appended claims free of denials


  • Find out how to accurately report modifiers -25 and -59 to maintain your earned revenue
  • Understand the payer policies that shape your use of modifiers -25 and -59, and discover tips to correctly meet payer requirements
  • Take home a score of documentation examples to help guide you through accurate modifier use
  • Learn why some payers have installed claims checks, such as prepay reviews, and how to overcome them

Who Should Listen?

  • Outpatient coders
  • Billers
  • Practice administrators
  • Compliance officers
  • Internal auditors

Meet the Speaker

Alicia Shickle With more than 33 years of clinical and administrative healthcare experience, Alicia Shickle, AHFI, CHC, CPCO, CPC, CPMA, CPPM, CRC, specializes in documentation and coding as well as revenue cycle integrity. She has a strong background in both voluntary and mandatory compliance program development and implementation. She frequently works with business litigation and health law practices, participating on fraud and abuse intervention teams and providing litigation support. 

Her past experience includes working as the director of compliance for the world’s largest healthcare training and credentialing organization, with more than 175,000 members worldwide who work in medical coding, medical billing, clinical documentation improvement, medical auditing, healthcare compliance, revenue cycle management, and practice management. She served as a director of coding and compliance, and was a family practice administrator. In this role, she accomplished the first level 3 PPC accreditation in New York state, and her practice won IPRO awards for most improved. Shickle has presented educational and training seminars nationally on compliance, documentation and coding, and practice management. She is a frequent author for online physician blogs and journals.

Shickle is the president-elect of the AAPC Manhattan local chapter. She is an Accredited Health Care Fraud Investigator (AHFI) and is certified in Healthcare Compliance (CHC, CPCO). She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and Certified Professional Practice Manager (CPPM), and is certified in Risk Adjustment Coding (CRC).

She is an active member of the American Academy of Professional Coders (AAPC), the Health Care Compliance Association (HCCA), the Association of Fraud Examiners (ACFE), the National Health Care Anti-Fraud Association (NHCAA), and the American Health Lawyers Association (AHLA).

Continuing Education

Board of Medical Specialty Coding & Compliance (BMSC)
This program is preapproved by the Board of Medical Specialty Coding & Compliance (BMSC) for CEU(s). 

This program has the prior approval of AAPC for 1 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: 07/27/2021.


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. 

Participation in the webinar is just $199 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.