Ep. 15.1: Common Modifiers Part 1

For The Love of Revenue Cycle

Today’s episode is part 1 in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle. They have a direct effect on the revenue flow of the organization. Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the hands of the coding and charge capture teams. Claims review before submission is the final opportunity to append the appropriate modifier before it gets to the payer. Unfortunately, most of us learn about modifiers when we are resolving unpaid claims in the outstanding AR. Well, I think that means we can all learn something from this review of modifiers, right? Let’s waste no time and jump right in!