Understanding Proper Use of Modifiers in Urology

Course Description

This educational webinar is intended for Coders, Managers, Providers, as well as beginners and intermediate. Medical billing fraud is a significant challenge in the healthcare industry, leading to substantial financial losses and legal ramifications. Preventing such fraud through internal audits is a critical strategy that helps maintain the integrity of billing processes and ensures compliance with regulations. Internal audits are an essential tool in the proactive detection and prevention of medical billing fraud, helping healthcare organizations maintain financial integrity and trust with patients and payers. By performing regular internal audits, your organization can identify discrepancies and irregularities, ensure compliance and promote accuracy and accountability.

Learning Objectives

• Define and understand the purpose of CPT and HCPCS Modifiers
• Identify commonly used modifiers in urology coding
• Apply correct modifier usage
• Ensure accurate documentation to support modifier use
• Understand the difference of Informational vs Payment modifiers

Areas Covered in the Session

• Explain how modifiers impact claim processing and reimbursement
• Distinguish between informational and payment modifiers
• Focus on modifiers under OIG
• Demonstrate how improper use may result in denial
• Live Q&A Session

Suggested Attendees

• Physicians and Non-Physician Providers in Urology
• Urologists
• Medical Coders
• Medical Billers
• Auditor
• Managers
• Claims Adjusters
• Medical Officers
• Compliance Officers
• Clinic Managers
• Healthcare Administrators
• Insurance Company Claims Reviewers
• Insurance Payers
• Payment Policymakers
• Revenue Cycle and Reimbursement Staff

About the Presenter

Edna Maldonado, CPC, ACS-UR, is a Certified Professional Coder (CPC), Board of Medical Specialty Coding & Compliance (ACS-Urology) and AHIMA ICD-10-CM Trainer. Edna R. Maldonado, CPC, is a bilingual health care management professional that has specialized in urology coding, billing, and training for over 30 years. Her training skills are unmatched, and she has used them to train several coders new to urology to staff AUA’s Coding Hotline. She has also trained and prepared coders for the CPC coding examination. Her leadership extends beyond training, she has also assisted new coders with goal setting, and she has mentored several coders who have moved on to higher positions in urology coding.

Ms. Maldonado’s ambition and drive has elevated her to an expert level in the field of urology coding. She holds herself to the highest standards of professionalism and confidence. She is dedicated to representing her organization and herself in a stellar light by always providing superior results. She is currently the Chair for the Practice Administration Work Group (PAWG) for the AUA, serving as Co-Course Director for the two-day annual Coding Seminar held by the AUA. Ms. Maldonado is an AAPC Officer for her Local Chapter, Frederick, MD.

Ms. Maldonado’s career in urology began in 1990 at Florida Urology Partners (formerly known as Town & Country Urology) where she was hired to manage a busy urology practice by the original owner, Servando Sanchez, M.D. During her time there, Ms. Maldonado was an effective leader with creative skills in interpersonal communications, organizational techniques and problem solving that she used to motivate and to cultivate a diverse staff of eleven. Her time there prepared her for a great opportunity to relocate and join a premier urologic association, providing invaluable support to the urologic community-the American Urological Association (AUA).

Since joining the AUA in 2010, Ms. Maldonado has become a respected and renowned expert in the field of urology coding. She has developed a multitude of urology coding training materials and training techniques for teaching urology coding. As a urology coding trainer, Ms. Maldonado has developed, designed, and recorded content for urology coding CDs, webinars, and virtual training. As an instructor, Ms. Maldonado has been a lead faculty member for urology coding courses including 30 two-day coding seminars, 27 customized coding seminars and over6 conference coding courses.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff

"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.