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1. Use Of Commonly Used Modifiers And How Can We Reduce Denials Through Their Effective Use www.cubehcs.com

2. About Me My name is Samra Ilyas. I have done bachelor's in Commerce. I have worked in Banaat School System as a teacher. I have joined cube health care systems on 7 th January 2022. 2

3. LEARNING AT CHS 1 What is Medical Billing? Process of Medical Billing Medical Terminologies Submission Process Errors & Rejections Eligibility Verifications Using Different EHR ( EPIC,I health, Practice Fusion etc.) Basic knowledge about AR and Denials.

4. What is Modifiers   Modifiers are two-character suffixes (alpha and /or numeric)that are attached to procedure codes. CPT modifier are defined by the American medical Association (AMA) HCPCS Level II modifiers are defined by the center of Medicare and Medicaid services (CMS). 4

5. Why We Use Modifiers Provide additional information. Avoid bundling issues. Indicate unusual circumstances. Document multiple procedure. Facilitate correct reimbursement . 5

6. Commonly Used Modifiers Modifier -25 Significant, Separately Identifiable E/M Service by the Same Physician on the Same Day Modifier -50 Bilateral Procedure Modifier -51 Multiple Procedures Modifier -57 Decision for Surgery Modifier -59 Distinct Procedural Service Modifier -76 Repeat Procedure by Same Physician Modifier -77 Repeat Procedure by Another Physician Modifier -95 Synchronous telemedicine service 6

7. Effective Use Of Modifiers to Reduce Denials Revised the coding modifiers annually by payer organizations. Follow the proper guidelines from AMA. Proper use the medical necessity for different procedures Avoid bundled procedures. Avoid Unnecessary documentation.. Appended correct modifier where needed like GW for hospice, 95 for telemedicine etc. 7

8. 8 THANK YOU! Any questions?