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Modifiers for Otolaryngology: Best Practices for
Reimbursement Success
Presenter
Barbara J. Cobuzzi
Follow us :
Tired of hearing about modifier usage without otolaryngology-
specific examples?
Barbara J. Cobuzzi, MBA, CPC, CENTC,
CPC-H, CPC-P, CPC-I, CPCO © 2014
Disclaimer
This material is designed to offer basic information for
the billing and coding of medical evaluation and
management services, using common coding systems.
The information presented here is based on the
experience, training, and interpretation of the author.
Although the information has been carefully researched
and checked and re-checked for accuracy and
completeness, neither the author, the instructors, CRN
Healthcare Solutions or the Association of
Otolaryngology Administrators accept any responsibility
or liability with regard to errors, omissions, misuse, or
misinterpretation.
Barbara J. Cobuzzi, MBA, CPC, CENTC,
CPC-H, CPC-P, CPC-I, CPCO © 2014
It’s All About the Money??
An easy way to remember proper usage
Helps to determine the best selection
when you are unsure as to which is the
best choice between troublesome pairs:
– 51 vs. 59
– 25 vs. 57
Barbara J. Cobuzzi, MBA, CPC, CENTC,
CPC-H, CPC-P, CPC-I, CPCO © 2014
Two Levels
HCPCS Level I modifiers:
– AMA CPT Manual, appendix A
HCPCS Level II modifiers:
– Found in Federal Register or in HCPCS book
by various publishers
Barbara J. Cobuzzi, MBA, CPC, CENTC,
CPC-H, CPC-P, CPC-I, CPCO © 2014
What do they do?
Modify the code description without
changing the core meaning
Provide additional information regarding
the service provided
Tells the “story” more clearly
Integral part of CPT and the HCPCS
coding system
To see the complete presentation check the
below link:
http://www.audioeducator.com/otolaryngology/modifiers-for-otolaryngology-
best-practices-for-reimbursement-success.html

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Modifiers for Otolaryngology: Best Practices for Reimbursement Success

  • 1. Modifiers for Otolaryngology: Best Practices for Reimbursement Success Presenter Barbara J. Cobuzzi Follow us : Tired of hearing about modifier usage without otolaryngology- specific examples?
  • 2. Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CPCO © 2014 Disclaimer This material is designed to offer basic information for the billing and coding of medical evaluation and management services, using common coding systems. The information presented here is based on the experience, training, and interpretation of the author. Although the information has been carefully researched and checked and re-checked for accuracy and completeness, neither the author, the instructors, CRN Healthcare Solutions or the Association of Otolaryngology Administrators accept any responsibility or liability with regard to errors, omissions, misuse, or misinterpretation.
  • 3. Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CPCO © 2014 It’s All About the Money?? An easy way to remember proper usage Helps to determine the best selection when you are unsure as to which is the best choice between troublesome pairs: – 51 vs. 59 – 25 vs. 57
  • 4. Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CPCO © 2014 Two Levels HCPCS Level I modifiers: – AMA CPT Manual, appendix A HCPCS Level II modifiers: – Found in Federal Register or in HCPCS book by various publishers
  • 5. Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CPCO © 2014 What do they do? Modify the code description without changing the core meaning Provide additional information regarding the service provided Tells the “story” more clearly Integral part of CPT and the HCPCS coding system
  • 6. To see the complete presentation check the below link: http://www.audioeducator.com/otolaryngology/modifiers-for-otolaryngology- best-practices-for-reimbursement-success.html

Editor's Notes

  1. Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPC-P, CHCC
  2. Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPC-P, CHCC
  3. Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPC-P, CHCC
  4. Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPC-P, CHCC