You can't afford to keep putting modifier 59 on every multiple code claim — insurers have taken notice of this improper use and started invoking huge penalties.
Yes, doing your due diligence to determine if modifier 59 is appropriate takes time. But with the right strategies and practical advice, you can keep your practice out of hot water.
Here are just a few of the practical strategies you'll receive in this step-by-step 87-page expert report:
- Which NEW modifier 59 updates took effect in 2024? (See page 10!)
- How to use CCI edits to ensure modifier 59 is allowed
- Quick ways to tell when you should instead use modifier 25
- What the X modifiers mean and when to apply them
- How to always use modifier 59 as the last resort
- Spot when to switch to modifier 51 and 50 to stop modifier misuse
- Audit-proof documentation phrases to justify your modifier usage
- And so much more…
And remember, ignorance is not an acceptable defense against fraud violations. If you are targeted for an audit and are found to be applying modifier 59 and its sub modifiers incorrectly, or if your documentation doesn’t back up their use, you could be hit hard legally and financially.
Who Will Benefit from This Expert Report:
- Most Medical Specialties
• Administrators/Practice Managers
• Coders/Billers
• Appeal Specialists
• Compliance Professionals
• Auditors
• HIM Professionals
• Providers (MD, DO, NP, PA, DPM, DC, etc.)
• Anyone that wants to improve payments for multiple procedures
Access your copy of this PDF expert report right now.
*This report has been approved for 1.0 CEU from the AAPC (upon successful completion of post-test).
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