2019 Modifier Update: Review New NCCI Guidance - On-Demand

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2019 Modifier Update: Review New NCCI Guidance - On-Demand

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2019 Modifier Update: Review New NCCI Guidance - On-Demand

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Available ON-DEMAND

Presented on: 
Thursday, May 9, 2019

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

Hospital coders and billers are constantly faced with modifier reporting challenges. They not only have to address issues with longstanding modifiers but must also familiarize themselves with details included in annual updates, such as the 2019 NCCI Manual. Developing a process for reporting these modifiers, which can have a payment impact, can ease administrative burden and reduce the risk of claim denials.

During this 90-minute webinar, Sarah L. Goodman, MBA, CHCAF, COC, CCP, FCS, and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, will review the latest NCCI guidance for hospital reporting.Listeners will learn when to use modifiers to prevent and override procedure-to-procedure (PTP) edits and Medically Unlikely Edits (MUE), tips for reporting and billing, and case scenarios for challenging modifiers such as -25 and -59. The program will also provide an overview of when and how to report new HCPCS modifiers for calendar year 2019, as well as a live Q&A.

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

  • Appropriately apply NCCI-associated modifiers for outpatient services
  • Describe some of the latest NCCI coding guidance for modifiers
  • Define different types of NCCI edits and MUEs that affect modifier reporting
  • Develop and implement processes to prevent and override common edits


  • NCCI modifier review: Chapter-specific coding and reporting guidance
  • Chapter 1: Correct coding policies
    • Overview of PTP edits and MUEs
    • General guidance for assigning NCCI-associated modifiers
  • Chapters 3–8: Surgical services   
    • Examples of how to apply modifiers -LT, -RT, -50, and other anatomic modifiers
    • Appropriate application of modifier -58 in the outpatient setting
  • Chapters 9 and 10: Radiology and laboratory services
    • Modifiers commonly reported with CPT® codes for radiology and laboratory services
    • New guidance for reporting laboratory panels and repeat testing
  • Chapter 11: E/M and medicine services
    • Clinical scenarios for reporting visit modifiers -25 and -27
    • Correct use of modifier -76 for inhalation treatments
    • Special considerations for drug administration services
  • New HCPCS modifiers for 2019
    • Proper application of modifiers -ER, -G0, -CO, and more

Who Should Listen?

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

Meet the Speakers

Sarah Goodman

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 several professional organizations on the local, state, and national levels, including the National Association for Healthcare Revenue Integrity.


Susan Garrison

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 Healthcare Auditors and Educators, past president of the AAPC’s National Advisory Board, and past chair for the American College of Medical Coding Specialists.

Continuing Education

(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.

Ability to claim credits for this webinar expires on: 05/08/2020

(Live + on-Demand) - This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webinar expires on: 05/08/2020

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).


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. 

No problem. The On-Demand version will be 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! 

Participation in the 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.