Please join us as Gawenda Seminars & Consulting, Inc. presents “2017 NCCI Edits and Outpatient Therapy Services” webinar conference on Tuesday, April 25, 2017 from 1:00pm – 2:00pm EDT. This webinar will teach participants about the National Correct Coding Initiative (NCCI) edits and their application to outpatient therapy services. All participants will be provided with Gawenda Seminars & Consulting, Inc. NCCI Edits Version 23.1 “cheat sheet” that will assist in the proper application of modifier 59.
To register online with a credit card, click HERE. To register by check, click Printable Registration Form, complete the form and mail with check to the address listed on the registration form.
One registration allows as many people to watch and listen to the webinar on one computer and/or phone line and each participant would be eligible to print off a certificate of attendance that may be eligible for 1.0 CEUs from your state board or national association. If your computer has no speaker or you unable to be at a computer, you can still call in to the phone number provided to hear the audio portion and follow along with the handout in pdf format.
Can’t Listen Live on April 25th? Not a problem. Register for the webinar, email us after the webinar stating no one from your organization logged in or called in to listen live, we will verify, and then send you a playback link of the actual live presentation along with the handouts. The playback link can be viewed on your computer as many times as you would like and audio comes through your computer speakers.
COURSE DESCRIPTION:
National Correct Coding Initiative (NCCI) edits are used by the Medicare program, state Medicaid programs as well as some commercial insurance carriers and workers compensation carriers to combat abusive and fraudulent billing practices in outpatient therapy as well as other services. NCCI edits were first implemented in 1996 by the Medicare program and applied only to private practices. In 2000, the Medicare program expanded NCCI edits to hospital outpatient departments and in 2006; NCCI edits were expanded to all other outpatient settings (i.e. skilled nursing facilities, CORF’s rehabilitation agencies, and home health agencies providing Part B services) under the Medicare program.
Modifier 59 is used by outpatient therapy providers to bypass certain NCCI edits and allow the payment of more than 1 CPT code billed on the same day that an insurance carrier may consider should be bundled and separate payment should not be made. Because of this, modifier 59 is not only the most commonly used modifier, it is also the most commonly abused modifier. In addition, the need to use modifier 59 is not only within the same discipline but may also be required when a patient is receiving multiple disciplines from the same provider on the same date of service.
On January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) implemented version 23.0 of NCCI that contained major revisions due to the new physical and occupational therapy evaluation and reevaluation CPT codes. This version did contain some crucial errors that caused issues for providers providing physical and occupational evaluations on the same date of service. On April 1, 2017, CMS released NCCI Version 23.1 that corrected these errors. This 1-hour webinar program will explain NCCI edits and the use of modifier 59 and provide detailed and realistic examples when providers of outpatient therapy services would utilize modifier 59. Examples will include the new evaluation and reevaluation codes as well as examples of how speech therapy billing impacts the physical and occupational therapy codes billed the same day. Lastly, participants will receive Gawenda Seminars & Consulting NCCI Version 23.1 “cheat sheet” to assist them in knowing when to apply modifier 59 to a CPT code on the claim form.
OBJECTIVES:
At the conclusion of this webinar presentation, participants will be able to:
- Describe and understand NCCI edits and the use of modifier-59 for outpatient therapy services
- Describe and understand column 1/column 2 CCI edits and which CPT code requires modifier 59
- Be able to use the CCI edit “cheat sheet” to append modifier-59 to the correct CPT code on the claim form
- Recite how one discipline’s billing may cause another discipline’s billing to require modifier 59
ABOUT THE SPEAKER:
Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Mr. Gawenda is currently the President and founder of Gawenda Seminars & Consulting, Inc. and Director of Finances for Kinetix Advanced Physical Therapy Inc., a private practice located in southern California. He has provided valuable education and consulting to hospitals, rehabilitation agencies, private practices, nursing homes, and his peers in the areas of CPT and ICD-10 coding, billing, documentation, reimbursement, and compliance as it pertains to outpatient therapy services as well as denial management and the appeals process for Medicare denied claims. Mr. Gawenda’s website, www.gawendaseminars.com, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.
Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy & Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators.
Mr. Gawenda is also the author of “The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials” and “Coding and Billing For Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes and Modifiers”.
WHO SHOULD LISTEN:
Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, office managers at private practices, as well as directors, managers, and supervisors in skilled nursing facilities, hospital outpatient therapy departments, rehabilitation agencies, home health agencies, comprehensive outpatient rehabilitation facilities, risk managers, compliance officers, billers and professional coders.
INCLUDED IN YOUR MATERIALS PACKET:
In addition to the expertise and advice presented during this webinar conference, you’ll also receive a handout (in PDF format) that will include related reference links as well as Gawenda Seminars & Consulting NCCI Edit Version 23.1 “Cheat Sheet” for use of modifier 59 in outpatient therapy.
COURSE FORMAT
Audio – phone connection required only if your computers do not have speakers or you will not be at a computer. Handout is sent via email approximately 5 days prior to live webinar conference date to the email address provided in the registration. If you register within 5 days of April 25, 2017, instructions will be emailed the evening of the day you registered (after 6:00PM pacific time). Please white list seminars@gawendaseminars.com to ensure you receive the required information. First 95 minutes is presentation/lecture and last 25 minutes is question and answer.
Webinar – Computer and internet connection required. Participants will be provided a url link where they can log in and follow the presentation on their computer as the speaker provides the presentation. If your computer has speakers, you will be able to hear the audio portion through your computer speakers and will not require a phone connection. If no speakers on your computer or unable to be at a computer, participants will need to call in to the phone number provided to them to hear the audio portion. You will need adobe flash.
CEUs
This webinar has not been submitted to any state board or national organization for CEU approval. A certificate of attendance will be available upon completion of the webinar for each participant and may be adequate for credit in some states; you will need to contact your state licensing regulatory body to determine whether or not credit will be granted for this webinar conference.
HOW THE WEBINAR CONFERENCE WORKS
Register for the event before 11:30AM EDT on April 25, 2017.
When you register, you’ll receive a confirmation e-mail that serves as your receipt. Approximately 5 days before the webinar conference, you will receive a separate email that provides you with instructions for accessing the call and a handout attachment. If you register within 5 days of April 25, 2017, instructions will be emailed the evening of the day you registered (after 6:00PM pacific time). Please make sure that your email system will accept messages from the webinar conference host: seminars@gawendaseminars.com. The easiest way to do this is to add this email address to the contacts list in your email software.
Gather your staff and listen to the webinar conference via speaker phone, follow along with the session handout, and participate in a live, interactive Question and Answer session. Registration includes ONE DIAL-IN CONNECTION AND/OR COMPUTER CONNECTION (you can gather as many people at that location as you wish), an electronic handout, and a certificate of completion for participants.
PLEASE NOTE: ONE REGISTRATION PROVIDES YOU WITH ONE PHONE AND/OR COMPUTER CONNECTION FOR THE WEBINAR CONFERENCE. You may pay for additional locations where indicated on the registration form.
REFUND POLICY
Written requests for refunds received on or before April 11, 2017, will receive a refund less a $60 processing fee; fees are nonrefundable after this date. There are no refunds for no shows or any other reasons after April 11, 2017. We are not responsible for organization fire walls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation. Email your request for a refund to the conference coordinator: seminars@gawendaseminars.com.
PLAYBACK LINK or AUDIO RECORDINGS
Playback link or CD recordings (audio only) are NOT included with registration, but registrants have an option to purchase a playback link for $49.95 or CD recording (audio only) for $69.95 prior to completing online registration or send in the additional payment with your registration and check. Playback link is best option as you are able to view and listen to the webinar live on your computer as many times as you would like and the playback link is emailed 72 hours after the completion of the webinar where CD’s will take 10-14 days for delivery.
TelSpanWeb System Requirements to View Webinar:
Operating Systems:
• Windows XP, Windows Vista, Windows 7, Windows 8
• MAC OS X v10.4 or Higher
• Linux
• Solaris
Internet Browsers:
• Internet Explorer 7 or Higher (Windows)
• Firefox 4 or Higher
• Safari 4 or Higher
• Google Chrome 2 or Higher
Stable Internet Connection, DSL or Above:
• 100 kbps for Video Transmission
• 300kbps for Screen Sharing and Remote Control
• Recommended 500kbps to ensure fluidity of all Services
Flash Player 10.3 or Newer: http://get.adobe.com/flashplayer
Disabled pop-up blockers
Computer speakers for participants listening over the computer
Testing
In order to ensure successful connection to your upcoming meeting, please take a moment to conduct a system test by clicking this link: http://web.telspan.com/systemcheck
CONTACT US
If you have questions about registration or logistics for this webinar conference, please contact the Webinar Conference Manager:
Michelle Gawenda • 661.350.6187 • seminars@gawendaseminars.com
If you wish to contact Rick Gawenda directly, you may email him: info@gawendaseminars.com or visit his website at: https://gawendaseminars.com
REGISTER ONLINE WITH A CREDIT CARD: Click HERE
If you want to pay by check, complete the Printable Registration Form and submit with your payment to the address listed at the bottom of the registration form.