Modifiers Explained 2018

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Master Accurate Modifier Assignments in 2018 with Simple Steps, Examples, and Exercises

Are you grappling with which modifier to select and when? Do you need help interpreting modifier assignments?

Designed for beginning coders, coding instructors, and as a refresher for experienced coders, Modifiers Explained 2018 jumpstarts learning with an in-depth and easy-to-follow primer on modifiers, including how and when to use them.

This training book is brimming with real-world examples, advice, and practice exercises—with an answer key in the back of the book. Practice managers will find the exercises ideal for boosting their staff’s modifier knowledge, as well as testing candidates’ skills before hiring new coders.

Updated for 2018, our veteran coding educators dissect confusing modifiers and simplify complicated CMS modifier regulations—including nuances of the global surgical package—into concepts that are easy to understand and apply. You’ll conquer the most challenging modifiers with actual coding scenarios—including whether to use modifier 96 or modifier 97, both new in 2018, for your habilitative and rehabilitative services.

Master lists of 2018 CPT® and HCPCS modifiers and their lay descriptions help you nail down the ins and outs of using each modifier, as well as the coding, billing, and reimbursement implications of each.

Get the lowdown on the most common modifiers and clear up professional/technical component confusion. Capitalize on coding tips for billing modifiers correctly and access definitions to relevant terms for better understanding. Achieve coding success you can bank on with TCI’s Modifiers Explained 2018, your step-by-step guide to assigning 2018 CPT® and HCPCS modifiers.

Walk-through each CPT® modifier, what it means, and how to use it:

  • Critical Documentation Tips for Modifier 22 — Increased Procedural Services
  • Learn the Ins and Outs of Anesthesia Types to Justify Modifier 23 — Unusual Anesthesia
  • Get to know basics of E/M Modifiers 24 — Unrelated Evaluation and Management (E/M) Service — and 25 for Significant, Separately Identifiable Evaluation and Management (E/M) Service
  • How Payers Impact When You Can Use Modifier 32 — Mandated Services
  • Justify the Need for Modifier 24 — Unrelated Evaluation and Management (E/M) Service
  • Separate Out When to Use Modifier 25 — Significant, Separately Identifiable Evaluation and Management (E/M) Service
  • Key Clues to Stop Missteps with Modifier 33 — Preventive Services
  • Crucial Tips to Understand Code Descriptors and When to Assign Modifier 50 — Bilateral Procedure
  • Know When to Use Modifier 51 for Multiple Procedures or Modifier 59 — Distinct Procedural Service
  • Get the Lowdown on How to Use Modifier 52 — Reduced Services — and Modifier 53 for Discontinued Procedure
  • Learn the Nuances of Modifiers 54, 55, and 56 When Providers Share the Pre-, Post- and Intra-op Services
  • NEW for 2018: Clear up the confusion between new modifiers 96 and 97, now mandated for habilitative and rehabilitative services.
  • And many more CPT® modifiers covered comprehensively with examples and exercises!

Append modifiers correctly every time—and say goodbye to denials and partial payments:

  • Clear explanations for each modifier with coding tips, including yearly modifier updates
  • Real-life coding scenarios to enhance your understanding and use
  • Exercises to reinforce what you've learned each step of the way
  • Terms and medical terms defined for you in the margins
  • Tips on assigning modifiers appear throughout the text
  • Comprehensive list of 2018 CPT® and 2018 HCPCS modifiers with lay descriptions
  • Glossary of common billing and coding terms
  • Index for quick reference
  • Dictionary-style headers and bleed tabs for easy navigation

Learning is quick, efficient, and fun with TCI’s Modifiers Explained 2018.

ORDER ONLINE or call 1-800-508-2582 today to get your copy.


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