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UHC Meets CCI Edits: Unravel the Inconsistencies
Presented by Jennifer Godreau, BA, CPC, CPEDC, 1 AAPC CEU Approved
This conference originally aired on: 11/05/2008
ON-DEMAND WEBINAR

If you bill to UHC, you now need to take a close look at how you bundle your services.

In Dec. 2007, UnitedHealthcare adopted the Centers for Medicare & Medicaid Services' Correct Coding Initiative (CCI) edits -- but not all of them. And for you pediatric coders out there who aren't familiar with CCI edits, that's not all. The insurer has also interpreted CCI bundles and extrapolated CMS’ rationale to apply to additional codes. And as anyone knows who's dealt with CCI edits before, the system it is vital for proper payment and anti-fraud protection.

Get up to speed on how UHC is bundling your services during this can't-miss audioconference with expert speaker Jennifer Godreau, BA, CPC. In one hour, she'll uncover which common pediatric services UHC bundles, when the payer allows a modifier to override the edits, and other reimbursement policies.

Here’s a sampling of the details you’ll learn:

  • 1 E/M services code for 2 same day office visits: What to do when the diagnoses are unrelated.
  • How to capture allowed education services -- even when inhaler education is bundled into nebulizer treatment.
  • Experiencing denials for CPO services? The answer may be in the G codes.
  • 2 UHC bundles for preventive services that many coders have missed.
  • No more separate reimbursement for nurse visit code 99211. Find out what this means for indirect prolonged services too.

Who should attend? Anyone who reports pediatric services and procedures to UnitedHealthCare including reimbursement specialists, office managers, coders and billers in pediatric and family physician practices.

Your registration includes:

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Order Below Or Call 866-458-2965 Today!

Jennifer Godreau, BA, CPC, CPEDC, specializes in medical coding policy for pediatrics, otolaryngology including allergy and audiology, family/internal medicine and pulmonology. She has a bachelors of arts in English from Wittenberg University in Springfield, Ohio, a certificate of professional coding (CPC), and is a certified pediatric coder.


Jen is currently a managing editor for The Coding Institute where she has written Pediatric Coding Alert and Otolaryngology Coding Alert for seven years, as well as several other coding publications. While researching articles, she consults with physician advisors and policy makers in the American academies of Audiology, Family Practice, Otolaryngology, Pediatrics, and the associations for Allergy and Speech-language and Hearing.

 

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"Learning about new edits and how best to appeal."
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"Good review of causes and actions to prevent/deal with"
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- Anne-Marie Eugley

"Straightforward content, speaker was not monotone and kept the presentation moving along."
- Matthew Hale

 

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UHC Meets CCI Edits: Unravel the Inconsistencies 
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