The National Correct Coding Initiative (NCCI) and the Relative Value File are two database files that the Center for Medicare and Medicaid Services (CMS) created for correct coding rules and guidelines related to Medicare claims. Most commercial carriers have also implemented these rules and guidelines in their claims processing in bundling services and other applications of coding medical claims for professional providers. There is a wealth of information in these files to not only apply the rules and guidelines for clean claims but to also be able to defend coding submitted when it is denied.
In this 1 hour session, we will go deep into these files, looking at what information is shared, and the utilization of these filed not only for billing and coding but for claims processing and understanding denials as the cause of many denials is that a claim does meet the requirements of the information in these files and considered a claim with an error(s).
There are several different parts of these files so it is important to understand each part it know which ones should be applied to a particular claim and if there is a need to alter a claim utilizing modifiers, codes, etc. It is sometimes difficult to know to where to turn when there is a question on how services or procedures should be coded, or what is considered bundled or unbundled. CMS publishes these edits at no charge and they are available to anyone on the cms.gov website.
Areas Covered in the Session:-
NCCI
Relative Value File
Learning Objectives:-
Background:-
CMS-created files that include claims edits and other coding information to assist in proper coding for medical claims. Both the NCCI and Relative Value File give guidance for Medicare claims. Many commercial carriers also use these files to process claims also.
Who will Benefit?
Any Organization, Institution or Group User can register
Registration Form support@webinaraxis.comDownload the
Order FormAccess Information for Live Session will be emailed to you 12 hours prior the live date.
Access Information for On-Demand, and Transcript will be emailed to you 24 hours post of the live session.
Also, You can access the training information from your dashboard at WebianarAxis.
Lynn Anderanin, CPC, CPB, CPPM, CPMA, CPC-I, COSC, has over 40 years of experience in all areas of the physician practice, specializing in Orthopaedics For AAPC Lynn is currently a VILT Instructor, Workshop, and Audio Presenter. She is the founder of her Local Chapter and a former member of the NAB.
She is the Sr. Director of Coding Compliance and Education for Healthcare Information Services, a physician billing and consulting service in the Chicagoland, area. She has over 30 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology.
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