Clearing Up NCCI and MUEs: Best Practices to Resolve Edits and Protect Revenue - On-Demand

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Clearing Up NCCI and MUEs: Best Practices to Resolve Edits and Protect Revenue - On-Demand

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Clearing Up NCCI and MUEs: Best Practices to Resolve Edits and Protect Revenue - On-Demand

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Available ON-DEMAND

Presented on: 
Thursday, March 4, 2021

Presented by: Denise Williams, COC, CHRI,

National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) can throw a wrench in the Medicare billing process, delaying appropriate revenue. Addressing these edits is critical, but the task is often challenging and requires detailed research to determine the causes and the most effective resolution. However, inconsistent or outdated internal processes and a lack of clear accountability for edit resolution too often leads to additional delays and results in lost revenue.

During this 90-minute webinar with Q&A, expert speaker Denise Williams, COC, CHRI, will clarify NCCI edits and MUEs and key strategies for resolving them. Williams will explain which edits can be appealed and how to build processes in coding and billing departments to successfully manage edits. Attendees will learn how to create and monitor accountability for edits and apply best practices to interdepartmental processes. Williams will also review 2021 policy changes and NCCI Manual updates. Case studies and real-life examples will demonstrate how attendees can put their knowledge into practice.

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

  • Explain the types of NCCI edits and MUEs
  • Analyze CMS’ application of edits and changes for 2021
  • Describe best practices for resolving edits and preventing their reoccurrence


  • Types of edits and why they matter
    • NCCI edits
    • MUEs
  • How CMS applies NCCI edits and MUEs
    • CMS’ process of application
    • What if the edit is unreasonable? Processes for disputing or asking for a change to the edit
  • 2021 NCCI policy changes and implications
    • Chapter-by-chapter revisions
  • The importance of root cause analysis to determine best practice resolution
    • Case studies using real-life examples
    • Best practices for resolving edits
    • Considerations prior to billing to prevent denials
    • Identifying departments that should be involved in the process
    • Delegating specific responsibilities—proactively and retroactively

Who Should Listen?

    • HIM directors and managers
    • Coding directors and managers
    • Coding staff
    • Billing staff
    • Revenue integrity directors and managers
    • Revenue integrity staff
    • Revenue cycle directors and managers
    • Revenue cycle staff
    • Internal auditors
    • Denials and appeals staff
    • Finance staff
    • Reimbursement staff

    Meet the Speakers

    Denise WilliamsDenise Williams, COC, CHRI, is senior vice president of the revenue integrity division and compliance auditor at Revant Solutions, Inc. She has more than 30 years of healthcare experience, including a background in multiple areas of nursing. For the past 25 years, Williams has been in the field of coding and reimbursement and has performed numerous E/M, OP surgical, ED, and observation coding chart reviews from the documentation, compliance, and reimbursement perspectives. She serves as a contributing author to articles published in HCPro’s Briefings on APCs and is a nationally recognized speaker on various coding and reimbursement topics. Williams serves as an advisory board member for NAHRI.


    Continuing Education

    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: 2/28/22

    This program is pending approval 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: 03/03/22

    This program has been approved for 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).

    Ability to claim credits for this webinar expires on: 03/03/22


    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 if you have questions.