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These two modifiers were responsible for nearly half a billion dollars in improper payments

Modifiers continue to be a frequent audit target of CMS and the Office of Inspector General. Modifier -59, in particular, was the reason for nearly half a billion dollars in improper billing.

Healthcare professionals in outpatient settings must stay up to date with guidance for reporting modifiers and take steps to reduce audit risk.

JustCoding’s Guide to Modifiers: Hospital Outpatient Edition features comprehensive explanations of when to report each CPT®/HCPCS modifier, including coding tips, detailed examples, and the latest regulations and guidance.

Each chapter contains exercises that let you use real-life documentation, including operative reports and case studies, to test your knowledge on how to apply each modifier.

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