NCCI for Physicians: Understanding Bundling Edits Made Simple

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Navigate The Maze of NCCI Bundling Edits—“When To and When Not To Unbundle Codes” & Compliance Issues

The concept of bundling edits is something that is never taught to physicians. As a physician you assume that what services you perform you get paid for—but that is not the case. All payers have bundling edits that will include some procedures into another procedure – therefore only paying for one. The most widely used edit system for Medicare is called NCCI.

This webinar with expert speaker Dreama Sloan-Kelly, MD, CCS will help physicians understand the maze of NCCI bundling edits, when codes can be unbundled, and when they cannot. The session will also go over compliance issues regarding unbundling inappropriately.

Also, Dr. Sloan-Kelly will show how to download NCCI edits database at no cost; how to read and use the database in a simple format; how to create cheat sheets; and find other payor edits that may differ from Medicare.

Learning Objectives:

  • Why should you as a provider be concerned with NCCI Edits?
  • Knowing bundling edits is crucial to proper billing and coding – Learn how to understand NCCI edits and how to use the data spreadsheet.
  • Understand why you get paid for, what you are getting paid for, and ensure there are NO missed charges.
  • Learn how to download NCCI edits database at no cost.
  • How to read and use the database in a simple format.
  • Learn how to create cheat sheets; and find other payor edits that may differ from Medicare.
  • How to identify bundling edits by commercial payers.
  • Physicians will come out knowing what they should be paid for when multiple procedures are done during the same sessions and understand why a particular procedure is being denied as bundled.
  • When it is appropriate to unbundle and when it is not?
  • Insights on modifiers—Are there modifiers to override MUEs?
  • What physicians need to know about bundling edits and what needs to be left up to the billing department?
  • Review compliance rules in regards to NCCI edits.

Who should attend

All Specialties -- Practice Managers, Office Managers, Medical Billers, Medical Coders, MD, DO, NP, PA, Clinical Documentation Improvement Specialists, MR Auditors, Front Desk


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About Our Speaker

Dreama Sloan-Kelly - Healthcare and Medical Billing Coding Expert

Dreama Sloan-Kelly, MD, CCS has over 14 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine, she has a varied background including clinical, billing, and coding. Dr. Sloan-Kelly is President/CEO of Kelly, Sloan, and Associates, LLC and speaks at various seminars and webinars, imparting her knowledge in an upbeat, matter of fact, manner. Her goal is get the...   More Info
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