Tracy Smaldino - HEALTHCON

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1.25 CEU

Grapevine 4-6

Mon, May 4 at 01:15 PM CDT (06:15 PM UTC)

75 MIN

3B | The Modifier 22 Blind Spot Every Revenue Cycle Leader Should Know

In the complex world of medical billing and coding, accuracy and detail are essential —especially when justifying services that exceed routine expectations. Modifier 22, Increased procedural services, is a powerful yet often misunderstood tool. Many healthcare providers perform procedures that require significantly more time, effort, and complexity than typical, yet few are aware that modifier 22 offers a legitimate way to reflect that increased work and potentially receive additional reimbursement. This session will provide a practical guide to understanding and applying modifier 22 correctly; explore the criteria for its appropriate use, documentation requirements, real-world case examples, and strategies to support reimbursement success; and provide insight into the types of scenarios where modifier 22 is appropriate, how to avoid common pitfalls, and how to communicate medical necessity effectively to payers.

Specialty Coding