Unwrapping NCCI Manual Beyond The Edits to Improve Coding And Avoid Denials

Event Information
Product Format
Prerecorded Event
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
Conference Date
Tue, Apr 26, 2016
60 minutes
Product Description

Avoid Denials and Compliance Risks by Understanding the NCCI Manual Beyond the Edits


It’s often the case that many coders and billers are told they can or can't bill something without understanding the source of that restriction or the "why" behind it. Others may be creating a compliance risk by not understanding why something is always denied, and as a result, continuing to bill it anyway.

This session with expert speaker Kim Huey will take you to the source of the information and explain its correct application. She will also discuss the compliance risks and other consequences of not understanding and applying the information correctly. You will gain an understanding of the NCCI manual beyond the edits and will get examples of types of edits. You will learn how to use the Add-on Code Tables and understand the Medically Unlikely Edits.

Session Highlights:

  • Review of the January and April 2016 updates to the NCCI edits
  • Instructions on accessing the NCCI guidelines
  • Learn how to use the add-on code tables
  • Understand the medically unlikely edits
  • Gaining confidence in appropriate modifier use
  • Coping with medically unnecessary denials 
  • Explaining the coding guidelines to providers

Session Snapshots:

  • The NCCI Manual
  • More than just edits
  • Type of edits
  • Comprehensive/component codes
  • Misuse of codes with examples
  • Mutually Exclusive Edits
  • Medically Unlikely Edits
  • Add-on Code Edit Tables
  • Use of Modifiers with CCI Edits
  • Modifier 25 vs. 27
  • Modifier 59 Update for Medicare –X{EPSU}
  • Software packages to review edits before billing

Who should attend?

Physicians, coders, billers, managers

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Kim Garner Huey - Health Care Management Expert

Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.

Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...   More Info
More Events By The Speaker

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