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⚠️Modifier 59: Do I Need It – Or Better Yet – Should I Use It? 🎟️Welcome to Advize's Coding Insights Series! Over the next three weeks, we’ll be sharing a series of blogs designed to help coders navigate the nuances of medical coding with clarity and confidence. 🤔Have you ever faced challenges when deciding whether Modifier 59 is appropriate for your claims? Senior Clinical Auditor Stefanie Lawrence breaks down the essential dos and don'ts of Modifier 59, including when it's acceptable to use—and when it’s not. Keep an eye out for more helpful insights in the coming weeks! #Modifier59 #MedicalCoding #HealthcareCompliance #CodingInsights #ClinicalAuditing #AdvizeHealth #CodingTips #HealthcareProfessionals #MedicalBilling #ModifierUsage #CodingBestPractices

Modifier 59: Do I Need It – Or Better Yet – Should I Use It?

Modifier 59: Do I Need It – Or Better Yet – Should I Use It?

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Lilian Lopez

Looking for an opportunity as a Fraud Investigator preferably in the Healthcare field. Educated with a Bachelors in Criminal Justice and a certificate in Medical Billing and Coding.

1d

Great advice!

Advize was built on Modifier 25 and 59 waste and abuse. I cannot believe after so long that these modifiers are still an issue!!

Eric Rubenstein, MSCJ, CFE thank you for sharing this. Please tell us. What is your favorite modifier for FWA?

Helen Strasko, RN, CLNC, CPC

Dully Certified Legal Nurse Consultant & Forensic Medical-Insurance Auditing, EW/TE

1d

Thank you for this very important reminder and once again clarifying information regarding Modifier 59. Helen Strasko Helen Strasko, RN, C.L.N.C. & C.P.C

Kosisochukwu Mbachu-Igwe

Data Analyst | Public Health & Patient Support Specialist Enhancing Healthcare Outcomes with Data-Driven Insights | Customer Analytics & Predictive Insights | Machine Learning for Business Growth |

1d

Excited to learn more about Modifier 59—this is a new area for me, and I’m eager to understand its role in medical coding. Appreciate Advize for breaking down complex topics like this to make them more accessible! I can’t wait to read Stefanie Lawrence's insights!

Karyn Cardenas CPMA,CPCO,CEMA,CRC,CCVTC,CEMC,CPC,CHCA

government reimbursement analyst at Sharp HealthCare

1d

the 25 for me is the problem child

Dena B.

Healthcare Consultant with extensive experience in claims redeterminations in fraud, waste and abuse, Value-Based Care (HEDIS/CMS Stars) Population Health Management, Clinical Education, and Project Management.

1d

Useful tips

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