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Hospital coders and billers are constantly faced with modifier reporting challenges. They not only have to address issues with long-standing modifiers, but must also familiarize themselves with numerous new details due to 2018 updates to the NCCI and CPT® manuals, new CMS guidance, and recent regulatory updates. Revenue cycle departments must determine when and how to report these modifiers, which frequently have a payment impact. Developing a process for reporting these modifiers can ease administrative burden and reduce the risk of claim denials. | | |
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Meet the speakers: Sarah L. Goodman, MBA, CHCAF, COC, CCP, FCS, is president/CEO and principal consultant for SLG, Inc., of Raleigh, North Carolina. She is a nationally known speaker and author on the topics of the charge description master, outpatient facility coding, and billing compliance, and has more than 30 years’ experience in the healthcare industry. Goodman has been actively involved and held leadership roles in several professional organizations on the local, state, and national levels, including the new National Association for Healthcare Revenue Integrity.
Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, is executive vice president of Healthcare Consulting Services at Med Law Advisors in Atlanta. Garrison has more than 25 years of experience in healthcare management, including documentation, coding, billing, and reimbursement for both outpatient hospital and physician services. She has conducted hundreds of engagements at hospitals across the country to improve hospital and physician compliance and reimbursement. She also worked for Medicare in Georgia for 12 years. |
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