Latest Episodes

Modifier 79 - Part 1

In Part 1 of our Modifier 79 series, KZA Coding Expert Christine Banks breaks down the definition and proper use of this often-confused modifier. Learn when Modifier 79 should be used for unrelated procedures performed during a postoperative global period, how it differs from Modifiers 58 and 78, and why understanding these distinctions is critical for accurate reimbursement. Christine also explains how Modifier 79 impacts global periods and highlights common mistakes that can lead to denials or lost revenue.

Modifier 78 - Part 4

We wrap up our Modifier 78 series with KZA Coding Expert Christine Banks, who shares what she's seeing in today's payer landscape surrounding unplanned returns to the operating room. From increased audit activity and denial trends to differences between Medicare, Medicare Advantage, commercial payers, and workers' compensation, Christine explains how payer expectations are evolving and what practices can do to stay ahead. Learn practical strategies for appealing denials, educating surgeons, reviewing payer contracts, and identifying missed reimbursement opportunities—all while reducing compliance risk. 

Modifier 78 - Part 3

In Part 3 of our Modifier 78 series, KZA Coding Expert Christine Banks breaks down the most common pitfalls and mistakes she sees with unplanned returns to the operating room—and how to avoid them. From confusing Modifiers 58, 78, and 79 to misunderstanding global periods, operative settings, and complication diagnosis coding, Christine shares practical tips to help practices reduce denials, capture appropriate reimbursement, and stay compliant. This episode is packed with real-world guidance and workflow strategies that coders, providers, and practice managers can put to work immediately. 

Governance & Leadership: with Hosts Liv & Matt

What separates a practice that simply grows from one that grows sustainably? In this episode of Inside the Practice, hosts Liv Wolf and Matt Shortt sit down to explore the critical role governance plays in the long-term success of physician practices. Together, they discuss how governance models must evolve as practices grow, the difference between leadership and management, and why succession planning can no longer be an afterthought. Matt shares practical insights on building effective boards and committees, developing future leaders, improving communication between physicians and administrators, and creating organizational structures that support—not hinder—growth. Whether you're leading a small physician-owned practice or navigating the complexities of a large multispecialty group, this episode offers practical guidance for strengthening governance, improving decision-making, and building the organizational foundation needed to thrive for years to come.

Modifier 78 - Part 2

In Part 2 of our Modifier 78 series, KZA Coding Expert Christine Banks takes a deeper dive into the documentation requirements that support an unplanned return to the operating room during the global period. Christine explains the four key elements every operative note should include, discusses the importance of complication-specific diagnosis coding, and walks through real-world examples from general surgery, orthopedics, and ophthalmology. This episode provides practical guidance to help ensure Modifier 78 claims are properly documented, appropriately reimbursed, and able to withstand payer scrutiny. 

Hosts

Olivia Wolf

Olivia Wolf

Host of Modifier Mondays: a KZA Podcast
Matthew Shortt

Matthew Shortt

Host of Inside the Practice