Catalog Number : cra1681
Title : NCCI Edits and Coding Policies
Speaker : Duane Abbey

Webplay Recording Date : 7-10-2014
Webplay Price : $ 125 for two weeks viewing

Webinar Overview:

What kind of differences are there between physician and hospital coding policies from NCCI? How many edits are there? To answer these questions and more, come join us at this informational Webinar.

Webinar Objectives:

• To review the overall development of the NCCI edits
• To have knowledge of the NCCI edit coding policy manual
• To carefully review the definition of the "-59" modifier
• To review the operational use of the National Correct Coding Initiative edits
• To appreciate how physicians and hospital should use modifiers in connection with the NCCI edits
• To review the general and specific policies inherent in the NCCI guidelines
• To identify the differences in coding policies between physicians and hospitals
• To appreciate the compliance issues surrounding physician and hospital use of the "-59" modifier
• To review policies relative to specific service areas as delineated in CPT
• To appreciate possible RAC and other audit activities in conjunction with the NCCI coding polices

Target Audience:

Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Physicians, Internal Auditing Staff and Other Interested Personnel

The following are a few of the topics to be discussed:

• Overview of NCCI Edits
  • Number of Edits
  • Types of Edits
  • Inherent Coding Guidelines
  • Hospital vs. Physician NCCI Edits
  • Using the "-59" Modifier to Bypass Edits
  • Absolute Bundling versus Relative Bundling
• NCCI Coding Guidance
  • Access To and Organization of the NCCI Coding Policy Manual
  • Fundamental General NCCI Coding Principles
  • Specific Examples of Guidelines
    • General
    • Dermatology
    • Endoscopic Procedures
    • Surgery
    • E/M Coding
    • Medical Procedures
  • Relationship of NCCI Coding Principles and Medicare Rules and Regulations
  • Relationship of NCCI Coding Principles with Private Third-Party Payers
• The Use of Modifiers with the NCCI Policies
  • Definitions and Descriptions in CPT/HCPCS
  • Utilization of Key Modifiers for Circumventing the NCCI Edits
  • Provider Coding, Billing Policies and Procedures
  • Editing Software
• Compliance Issues
  • OIG Studies
  • Audit Procedures for Proper Use
  • Recovery Audit Contractor Involvement
• Sources for Further Information

Attendance Hours:

Upon attending this course you will receive a 1.8 Nursing Contact Hour Certificate or a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.