Demystifying the Modifiers

*** WITH 16.0 CEUs – Take the mystery out of modifiers ***
2017 Edition 

A self-paced CD-ROM continuing education course
Preapproved for 16.0 CEUs by AAPC for Core (CPC, CPC-H, CPC-P, CPB, CPPM)

“I’m not sure what I would do if I didn’t have these courses to pick from. I travel too much to take time sitting in a workshop. And I certainly don’t want to travel more to go to one either! Thank you!”
— L.B., Texas

Who should take this course? DMM40 cover 150px

  • Physician coding and billing staff
  • Physician office managers
  • Clinic and hospital coding and billing staff
  • Medical billing companies
  • CPC and CPC-H certification holders fulfilling AAPC annual CEU requirements

Demystifying the Modifiers is a comprehensive CD-based interactive course that reviews all HCPCS Level I CPT modifiers, including Ambulatory Surgical Center (ASC) modifiers, listed in the CPT manual. CPT modifiers in conjunction with CPT codes, when used correctly, allow the provider to more accurately document and report services that were provided. Knowing how modifiers work with CPT codes enables the coder to report many different, and even unusual, events that might occur during a service or procedure, that are not reported just using the code alone. In certain situations, the use of modifiers is required.

Click here to see the brochure (requires Adobe Acrobat Reader) on Demystifying the Modifiers, or continue reading below.
Click here to view sample slides from the course (also requires Adobe Acrobat Reader).

The course features in-depth coverage of modifier usage, the do’s and don’ts of modifiers, and guidelines on how to support the modifier used (supporting documentation). This course also takes a close look at modifiers that are similar in description, and emphasizes the differences for a better understanding of usage and reporting. Throughout the course each modifier is identified if it is appropriate for use in ASC settings, or not. The more common HCPCS Level II modifiers are also reviewed – their usage, guidelines, and reporting purposes.

The self-paced nature of the course allows you to work at your own pace. This is also an excellent way to satisfy the continuing education provision of the compliance plan of a physician practice or third party billing firm.

This course has been pre-approved for 16.0 Continuing Education Units from AAPC for Core (CPC, CPC-H, CPC-P, CPB, CPPM) credentials. You can earn the same number of CEUs for your AHIMA credential upon submission. So for a reasonable expense, you’ll be able to tune up your knowledge and fulfill a large portion of your annual CEU requirement!

Here’s a sampling of what Demystifying the Modifiers covers:

  • Chapter 1, Section 1 – Overview of HCPCS Level I CPT Modifiers
  • Ch. 1, Section 2 – Modifiers 22 through 27
  • Ch. 1, Section 3 – Modifiers 32 and 47
  • Ch. 1, Section 4 – Modifiers 50 through 59
  • Ch. 1, Section 5 – Modifiers 62 through 66
  • Ch. 1, Section 6 – Modifiers 73 through 79
  • Ch. 1, Section 7 – Modifiers 80 through 82
  • Ch. 1, Section 8 – Modifiers 90 through 92
  • Chapter 2 – HCPCS Level II Modifiers
  • Post-Test – Final review quiz taken by user at end of course
  • Examples, case studies, practice questions, review quiz with immediate audio and visual feedback

Each modifier is discussed in detail regarding modifier guidelines. Also covered in this course is when it’s appropriate to use a modifier and when it’s not, appropriate documentation to support modifier reported, and when the modifier is appropriate in an ASC setting.

This course also includes in-depth detail on the controversial modifier 25. Learn about the criteria that would categorize the physician’s work as significant to report this modifier. Also, read about modifier 59’s sub-modifiers X{EPSU} and what they represent.

Learn the differences between modifier 52 vs. 53, when to report one over the other. Also compares modifier 57 vs. 25, when to attach modifier 57 instead of modifier 25 to the E/M visit code under certain circumstances. Use of surgical modifiers is also discussed in this course, along with each modifier listed in the CPT. This course answers your questions about how, when, and why modifiers are reported.

To run Demystifying the Modifiers on your computer, the CD-ROM option requires a PC with Microsoft Windows 7, 8, or later, and a CD-ROM drive. The Cloud-CD™ option is compatible with either an Apple Mac or a Windows PC.

Click the desired button below to put your selection in the cart. Additional User Licenses can be added when you get to the cart.

buttonB1Price (CD-ROM): $475, plus S/H (NY State residents add 8.0% sales tax)
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button8Discounted CD-ROM price (24% savings!) for AAPC members: $365 plus S/H and applicable sales tax

AAPC/AHIMA member price for Cloud-CD™ version (Internet access to course content): $325, no S/H, but NYS sales tax if applicable

Additional users: For this course, we offer user licenses for additional users sharing the same CD, for $80 each additional user (add these in the shopping cart). Must be purchased at the same time as the CD. A great way for significant savings when multiple users can share the same CD.

Any questions, just call us toll free at 800-515-3235.