Understand the National Correct Coding Initiative: Complimentary Webinar

February 14, 2017

We are pleased to introduce Jennifer Bishop, Director of Data Integrity at VitalWare. Jennifer has over 20 years of experience with chargemaster maintenance, provider education and revenue cycle management, including experience in an acute-care hospital setting and performing both DRG and APC audits for hospitals nationwide.

Many of us are aware CMS created the National Correct Coding Initiative (NCCI) to prevent improper payments when incorrect code combinations or quantities are reported, but how familiar are you with the format and use of the Procedure-to-Procedure (PTP) edits? What about the Medically Unlikely Edits (MUE)? Do you know when and how you can appropriately bypass these edits?

Clarity is Key

A clear understanding of these issues is crucial in order to avoid coding and billing errors which can result in unnecessary payment delays or denials. Services denied based on NCCI edits cannot be billed to Medicare beneficiaries, and an Advanced Beneficiary Notice of Noncoverage (ABN) may not be issued to seek payment from the beneficiary for a PTP or MUE issue.

For instance, have you ever gotten confused trying to decipher the column 1 and column 2 edits? Have you ever questioned whether or not the modifier you have assigned will bypass the edits appropriately? Have you ever gotten an MUE denial but not been able to find a published MUE value for the CPT® code? If you answered ‘yes’ to one or more of these question, you’re not alone.

Here’s What You Can Expect

We want to help answer your questions and provide you with a greater understanding of the coding and billing guidelines that pertain to the NCCI edits. Our special encore presentation on February 22, 2017 is designed to help coders and billers in both the facility and professional settings gain a better understanding of the NCCI edits. We hope to see you there!

To get more information about what to expect from this webinar and to register, click here.

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