2016 Modifier Update: NCCI and Modifier -59 - On-Demand

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2016 Modifier Update: NCCI and Modifier -59 - On-Demand

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2016 Modifier Update: NCCI and Modifier -59 - On-Demand

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Available ON-DEMAND.

Presented on: 
Wednesday, June 15, 2016

Presented by: 
Sarah L. Goodman, MBA, CHCAF, COC, CCP, FCS 
Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC 

Sponsored by: 
JustCoding.com

Modifier use remains an area of scrutiny for auditors and can be confusing for coders when CMS updates NCCI edits and guidance. Understanding the differences between CMS’ procedure-to-procedure edits, Medically Unlikely Edits (MUE), and MUE Adjudication Indicators (MAI) can ensure claims are coded and billed accurately the first time.

During this program, expert speakers Sarah L. Goodman, MBA, CHCAF, COC, CCP, FCS, and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, will describe CMS’ updated guidance on modifier -59 use for services, including the changes for timed services, and explain how to ensure charges are accounted for as CMS increases the number of bundled services.

At the conclusion of this on-demand program, participants will be able to: 

  • Apply CMS’ updated NCCI guidance for 2016 
  • Account for all charges in bundled services 
  • Report modifier -59 and know when to report the -X{EPSU} modifiers according to the latest guidance 
  • Identify procedure-to-procedure edits and MUEs 


Who Should Listen? 

  • HIM directors and managers 
  • Outpatient coding professionals 
  • Compliance officers 
  • Chargemaster coordinators 
  • Revenue cycle managers 
  • Revenue integrity team 
  • Nurses and nursing staff 
  • Finance staff 
  • Clinical staff 


Agenda

  • New for this year: Guidance for modifier -59 and other NCCI updates 
  • Review via encounters vs. cost center 
    • Emergency departments 
    • Outpatient therapy/rehab 
    • Outpatient surgery 
  • A look at MUEs and MAIs 
  • How to accurately report multiple labs 
  • Radiology—diagnostic questions 
  • Case studies 
  • Q&A (not live) 


Continuing Education 

AAPC
(Live + On Demand) - This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (CEH’s for this webcast expire on: 6/14/17)

American Health Information Management Association (AHIMA)
This live program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (CEU’s for this webcast expire on: 6/14/2017)

Meet the Speakers 

Sarah L. Goodman, MBA, CHCAF, COC, CCP, FCS, is president/CEO and principal consultant for SLG, Inc., of Raleigh, North Carolina. She is a nationally known speaker and author on the charge description master, outpatient facility coding, and billing compliance, and has more than 30 years’ experience in the healthcare industry. Goodman has been actively involved and held leadership roles in a number of professional organizations on the local, state, and national levels.

Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, is executive vice president of Healthcare Consulting Services at Med Law Advisors in Atlanta. Garrison has more than 25 years of experience in healthcare management, including documentation, coding, billing, and reimbursement for both outpatient hospital and physician services. She has conducted hundreds of engagements at hospitals across the country to improve hospital and physician compliance and reimbursement. She also worked for Medicare in Georgia for 12 years. Garrison is the executive director of compliance for the Association of Health Care Auditors and Educators, past president of the AAPC’s National Advisory Board, and past chair for the ACMCS. 


Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

COULDN'T LISTEN LIVE? 
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Please note 
Participation in this webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.