In Part 3, KZA Coding Expert Deb Grider tackles one of the most important questions practices have about Modifiers 52 and 53: how do they affect reimbursement? Deb explains how payers typically evaluate reduced and discontinued procedures, why documentation plays a critical role in payment decisions, and what providers should expect when these modifiers are appended to a claim. This episode offers valuable insight into the financial implications of accurate modifier usage.

In Part 2 of our Modifiers 52 and 53 series, KZA Coding Expert Deb Grider takes us beyond the definitions and into real-world clinical examples. From cardiology and general surgery to ENT and orthopedic procedures, Deb walks through scenarios that demonstrate when each modifier is appropriate and how patient circumstances drive coding decisions. This episode helps bring these often-confused modifiers to life through practical application.

We're kicking off our four-part series on Modifiers 52 and 53 with KZA Coding Expert Deb Grider. In this first episode, Deb breaks down the definitions of Reduced Services (Modifier 52) and Discontinued Procedures (Modifier 53), explaining when each modifier should be used and why understanding the distinction is critical for accurate coding and compliance. If you've ever wondered where the line is between a reduced service and a discontinued procedure, this episode lays the foundation. 

We wrap up our Modifier 93 and 95 series with KZA Coding Expert Deb Grider, who brings it all together with key questions every practice should be asking before billing telehealth services. From verifying modality and CPT eligibility to ensure documentation and place of service align, this episode provides a practical checklist to support accurate, compliant telehealth billing. A must-listen for anyone looking to tighten up their telehealth process.

In part 3 of our Modifier 93 and 95 series, KZA Coding Expert Deb Grider takes us into the complexities of payer policies and real-world scenarios. From Medicare vs. commercial payer differences to behavioral health examples and connectivity challenges mid-visit, deb highlights how quickly telehealth billing can become nuanced. This episode helps you think beyond the basics and navigate payer-specific expectations with clarity.

In Part 2, KZA Coding Expert Deb Grider explores what happens when telehealth modifiers are used incorrectly, and how to avoid those mistakes. From mismatched documentation and missing patient consent to incorrect place of service and modifier selection, Deb walks through common audit findings and practical strategies to clean up your telehealth workflows. This episode is packed with real-world insight to help reduce denials and compliance risk.

We’re kicking off this four-part, two-modifier series with KZA Coding Expert Deb Grider, diving into the fundamentals of Modifiers 93 and 95. In this episode, Deb breaks down the key differences between audio-only and audio-video telehealth services, when each modifier applies, and why getting it right matters more than ever. If telehealth billing still feels a little unclear, this episode lays the groundwork for confident, compliant coding. 

We wrap up our Modifier 57 series with KZA Coding Expert Michelle DelMonico, who shares what she’s seeing in the payer space right now. From timing requirements and common denial trends to policy nuances across Medicare and commercial payers, this episode provides actionable strategies to stay ahead of payer scrutiny. Learn how to align documentation, timing, and policy expectations to reduce denials and streamline reimbursement. 

In Part 3, KZA Coding Expert Michelle DelMonico highlights the most common pitfalls and mistakes with Modifier 57—and how to avoid them. From applying the modifier to the wrong code to confusing it with Modifier 25, this episode offers practical tips, real-world scenarios, and quick checkpoints to help ensure accurate and compliant use. Perfect for both coders and providers, this episode bridges the gap between clinical intent and coding rules. 

In Part 2 of our Modifier 57 series, KZA Coding Expert Michelle DelMonico dives into the documentation requirements that make—or break—this modifier. From clearly supporting medical necessity to explicitly documenting the decision for surgery, Michelle walks through what payers are looking for and why vague documentation leads to denials. With real-world examples, this episode helps you build clear, defensible documentation that stands up to audit scrutiny.