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Artwork for Modifier Mondays: a KZA Podcast

Modifier Mondays: a KZA Podcast

KZA KAST
Modifier 59
CPT Modifiers
Modifier 25
Modifier 22
Modifier 79
Medicare
Modifier 78
CMS
Modifier 57
CPT Codes
Modifier 62
Modifier 52
Modifier 53
Documentation Requirements
Global Period
Modifier 58
Payers
Telehealth
Documentation
CPT Guidelines

The podcast where KZA coding experts break down CPT modifiers to help you code with confidence. Visit us at kzanow.com

PublishesWeeklyEpisodes52Foundeda year ago
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Artwork for Modifier Mondays: a KZA Podcast

Latest Episodes

We wrap up our Modifier 58 series with KZA Coding Expert Rebecca Mizelle exploring what payers are looking for when reviewing these claims, with content prepared by KZA Coding Expert Christine Banks. Learn why payers often evaluate Modifiers 58, 78, ... more

In Part 3 of our Modifier 58 series, KZA Coding Expert Rebecca Mizelle breaks down common mistakes that can turn a seemingly straightforward modifier into a reimbursement or compliance problem, using content prepared by KZA Coding Expert Christine Ba... more

In Part 2 of our Modifier 58 series, KZA Coding Expert Rebecca Mizelle takes a deeper dive into the documentation needed to support proper use of this modifier, with content prepared by KZA Coding Expert Christine Banks. Learn how documentation requi... more

In Part 1 of our Modifier 58 series, KZA Coding Expert Rebecca Mizelle walks us through the fundamentals of this staged or related procedure modifier, using content prepared by KZA Coding Expert Christine Banks. Learn the three distinct circumstances... more

In this Modifier Mondays Spotlight episode, KZA Coding Expert Rebecca Mizelle breaks down Advance Beneficiary Notices (ABNs) and the modifiers that communicate a patient’s financial responsibility to Medicare. Rebecca reviews when an ABN should be is... more

We conclude our Modifier 79 series by exploring what payers are currently scrutinizing when reviewing these claims. KZA Coding Expert Christine Banks discusses Medicare, Medicare Advantage, commercial payer, and workers' compensation expectations, ex... more

In Part 3 of our Modifier 79 series, Christine Banks explores the most common coding mistakes she encounters during audits, from billing postoperative pain management incorrectly to confusing Modifiers 79, 78, and 24. She also shares practical workfl... more

Part 2 of our Modifier 79 series takes a deeper dive into the documentation required to support unrelated procedures performed during an active global period. KZA Coding Expert Christine Banks shares practical documentation tips, explains how to dist... more

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Recent Guests

Rebecca Mizelle
KZA Coding Expert
KZA
Episode: Modifier Mondays Spotlight - ABN Modifiers
Christine Banks
KZA coding expert
KZA
Episode: Modifier 79 - Part 1
Deb Grider
KZA coding expert
KZA
Episode: Modifiers 52 & 53 - Part 3
Michelle DelMonico
KZA coding expert discussing Modifier 57
KZA
Episode: Modifier 57 - Part 4
Deb Greider
KZA coding expert
KZA Coding
Episode: Modifier 27 - Spotlight

Host

Olivia
Host of Modifier Mondays, guides discussions and interviews on CPT modifiers; associated with KZA Coding Experts / KZA Cast Modifier Mondays.

Talking Points

Recent interactions between the hosts and their guests.

Modifier 79 - Part 2
Q: What criteria must be met for a procedure to be considered unrelated under Modifier 79?
The new procedure must have a distinct diagnosis different from the original surgery, occur at a different anatomic site, and involve a distinct clinical condition, with the new procedure documented as a standalone clinical record.
Modifiers 52 & 53 - Part 3
Q: What does Modifier 53 do to payment in practice?
Modifier 53 signals a partial or terminated procedure and typically leads to reduced reimbursement based on the work performed, with Medicare guidance allowing compensation for the work done and client risk even if the full endpoint isn't reached.

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Frequently Asked Questions About Modifier Mondays: a KZA Podcast

What is Modifier Mondays: a KZA Podcast about and what kind of topics does it cover?

Modifier Mondays: a KZA Podcast concentrates on practical CPT modifier guidance for healthcare coding, with deep dives led by coding experts. Episodes frequently center on Modifier 78, Modifier 79, Modifier 93 and 95, Modifier 52 and 53, and Modifier 57, emphasizing correct documentation, payer policies, and compliance to minimize denials and maximize appropriate reimbursement. Real-world case studies, detailed note language, and pragmatic workflows equip clinicians and coders to navigate audits, payer-specific rules, and telehealth nuances. A recurring highlight is the focus on payer landscapes, documentation pitfalls, and the strategic use of modifiers to align coding with policy, making it valuable for coding professionals, billers, and ... more

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Which podcasts are similar to Modifier Mondays: a KZA Podcast?

These podcasts share a similar audience with Modifier Mondays: a KZA Podcast:

1. Inside the Practice
2. CodeCast | Medical Billing and Coding Insights
3. The Daily
4. Up First from NPR
5. In The Dark

How many episodes of Modifier Mondays: a KZA Podcast are there?

Modifier Mondays: a KZA Podcast launched a year ago and published 52 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Modifier Mondays: a KZA Podcast?

Recent guests on Modifier Mondays: a KZA Podcast include:

1. Rebecca Mizelle
2. Christine Banks
3. Deb Grider
4. Michelle DelMonico
5. Deb Greider

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