Course Code: REL-RCC-REV-CCI-A02
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Identify how modifiers are used in billing.
Apply appropriate modifiers in various outpatient situations.
Recognize the meaning and application of the most common modifiers.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Defining “Modifier”
Review
Level I and Level II Modifier Examples
Basic Modifier-Reporting Guidelines
When Not to Use Modifiers
Section 3: Modifiers 50, 52 and HCPCS Modifiers
Modifier -50
Modifier -50: Payment Implications
Review
Modifier 52: Reduced Services
Review
Section 4: Discontinued Services
Modifier 73: Discontinued Procedure Prior to Anesthesia
Modifier 74: Discontinued Procedure after Anesthesia
Additional Instructions for Coding Discontinued Services
Review
Section 5: Distinct and Separate Procedures
Modifier 59: Distinct Procedural Services
Using Modifiers 59, -XE, -XS, -XP, and -XU
Modifier 25: Significant, Separately Identifiable E/M Services
Review
Section 6: Valid OPPS Modifiers
Valid Outpatient Prospective Payment System Modifiers
Review
Section 7: Conclusion
Summary
Course Contributor(s)
References
Exam
Subject Matter Expert: Tamara Abraham, AS, BA, CPC-I, CGSC, CPC
Tamara has twenty-seven years of multi-specialized medical coding and Corporate Compliance experience. She is the founder of Abraham Medical Coach LLC, where she provides medical coding and healthcare compliance consulting services to healthcare organizations across the United States. In addition to consulting, Tamara prepares individuals to sit for their medical coding certification via her online course curriculum. She is an adjunct educator for a local community college based in Texas. Her area of instruction includes Introduction to Medical Law, Medical Terminology, ICD-10-CM and Procedural Coding. Tamara’s credentials include AAPC Approved Instructor, Certified General Surgery Coder and Certified Professional Coder with the Academy of Professional Coders Association (AAPC). She has authored three books specific to the medical coding industry.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.