Understanding the NCCI Manual – Beyond the Edits

Event Information
Product Format
Prerecorded Event
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
Conference Date
Tue, Oct 06, 2015
60 minutes
Product Description

Don’t Let Medically Unlikely Edits (MUEs) Wreak Havoc on Your Practice’s Coding and Reimbursement!

If you’re receiving denials from Medicare, one possibility is that you’re running up against medically unlikely edits (MUEs). The edits, which are designed to prevent overpayments caused by gross billing errors, usually a result of clerical or billing systems’ mistakes, often confuse even veteran coders.

Ensure you’re not letting edits like these wreak havoc on your practice’s coding and reimbursement by uncovering the truth about the National Correct Coding Initiative (NCCI).

Many in this field have been told they can or can't bill something without understanding the source of that restriction or the "why" behind it. Others may not understand why something is always denied, but they keep billing it anyway — creating a compliance risk.

This audio conference, presented by Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, will bring you to the source of NCCI information and explains its correct application in your practice - as well as the consequences of not understanding and applying the information correctly.

Session Highlights:

  • Locate and understand the NCCI manual—and then go beyond the edits
  • Examples of the edit types and what they mean!
  • How to use Add-on code tables
  • Unravel the mystery behind Medically Unlikely Edits (MUEs)
  • Review the latest October 2015 updates to the NCCI edits
  • Instructions on accessing the NCCI guidelines
  • Gain confidence in appropriate modifier use:
    • Modifier 57, 58, 59, 78, 79, 22, 91 etc.
    • Modifier 25 vs. 57
    • Modifier 59 Update for Medicare -X{EPSU}
  • How to cope with medically unnecessary denials  
  • Explaining the coding guidelines to providers

Who should attend?

Physicians, coders, billers and managers in all specialties – but especially surgical specialties.

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
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