NCCI Modifier Review: Navigate Chapter-Specific Coding and Reporting Guidance - On-Demand

Available ON-DEMAND

Presented on: Thursday, April 28, 2022 

Presented by: Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS

When reported incorrectly, modifiers can misrepresent the work completed by a provider, resulting in potential denials and lost revenue for a hospital or physician practice. As such, facility coders and billers are constantly faced with modifier reporting challenges. They not only have to address issues with long-standing modifiers, but must also familiarize themselves with guidance included in annual updates, such as the 2022 NCCI Manual. Developing a process for reporting these modifiers can ease administrative burden and reduce the risk of claim denials.

During this 60-minute webinar, Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, 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 the most challenging modifiers such as -25 and -59. The program will also provide an overview of when and how to report new HCPCS modifiers

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 

Agenda

• Chapter 1: Correct coding policies
• Overview of PTP edits and MUEs
• Latest on add-on code edits
• General guidance for assigning NCCI-associated modifiers
• Chapters 3 through 8: Surgical services   
• Examples of how to apply anatomic modifiers
• When to employ modifier -59 and the -X{EPSU} modifiers
• Chapters 9 and 10: Radiology and laboratory services
• Modifiers commonly reported with CPT® codes for radiology and laboratory services such as -RT, -LT, and -91
• New guidance for reporting follow-up/reflex laboratory testing vs. additional testing
• Chapter 11: E/M and medicine services
• Clinical scenarios for reporting modifier -25
• Special considerations for reporting drug administration services
• New HCPCS modifiers for 2022
• Proper application of modifiers -93, -FS, -FT, -FQ, and more
• Q&A

Who Should Listen?

• HIM directors and managers
• Outpatient coding professionals
• Outpatient CDI professionals
• Compliance officers
• Chargemaster coordinators
• Revenue cycle managers
• Revenue integrity professionals
• Nurses and nursing staff
• Finance staff
• Clinical staff
• Freestanding clinic staff
• Multispecialty clinic staff
• Physician office staff
• Practice managers
• ASC staff

Meet the Speaker

Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, is president/CEO and principal consultant for SLG, Inc., in Raleigh, North Carolina. She is a nationally known speaker and author on the chargemaster, 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 professional organizations on the local, state, and national levels—including the National Association of Healthcare Revenue Integrity (NAHRI) Advisory Board—and currently serves as an alternate adjunct instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp® and as a frequent presenter at NAHRI sponsored events.

Continuing Education

AAPC
This program has the prior approval of AAPC for 1 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: 4/30/23

ACDIS
This program has been approved for 1 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

Ability to claim credits for this webinar expires on: 4/27/2023

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

Ability to claim credits for this webinar expires on: 4/26/2023

NAHRI
This program has been approved for 1 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: 4/27/2023

Instructions

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 or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

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. 

CAN'T LISTEN LIVE? 
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 $229 value! 

PLEASE NOTE 
Participation in the webinar is just $229 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.