Looking Forward To Question a Denial? Here Are the Expert Tips

If you’re questioning a denial, then you should look to the National Correct Coding Initiative (NCCI) edits. This is where you can find information about what medical services are bundled and why. Before you begin the appeal process, make sure the denial is incorrect. If the denial is the result of an NCCI edit, then your appeal won’t be successful.

In this presentation, you’ll find out what constitutes a payable and a non-payable service, as defined by NCCI. You’ll see real time NCCI data and use this for examples. You’ll have the foundation for understanding NCCI.  

This session will help you:

• Identify modifiers unique to NCCI.
• Isolate the CPT/HCPCS codes that are payable and non-payable when billed together.
• Highlight possible fraud, abuse and waste on a CMS 1500 claim form example.
• Learn how often NCCI is updated and where to obtain it for free.
• Discover how to use NCCI to reduce claim denials and practice administrative expenses.

Who should attend?
Medical Billers, practice managers, office managers, coders wanting to learn more about NCCI to decrease denials and improve practice revenue.  

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