NCCI Edits and Modifier 59: Version 28.2

Please join us as Gawenda Seminars & Consulting, Inc. presents “Understanding NCCI Edits and Modifier 59: Version 28.2” webinar conference on July 6, 2022 from 1:00PM – 2:00PM eastern daylight time. This webinar will provide participants with information on NCCI Edits Version 28.2 that became effective with dates of service beginning on July 1, 2022 and lasting through September 30, 2022.

Date

July 6, 2022
Expired!

Time

Eastern Time Zone
1:00 pm - 2:00 pm

Cost

$79.00

Speaker

  • Rick Gawenda, PT
    Rick Gawenda, PT
    President

    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. 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”.

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To register online with a credit card, purchase a ticket at the bottom of this page. The only way to register for this webinar is online with a credit card. We do not take Purchase Orders (PO’s) from any organization!

One registration allows as many people to watch and listen to the webinar on one computer.

Can’t Listen Live? Not a problem. Register for the webinar below; email us after the webinar stating no one from your organization logged in or called in to listen live. We will verify and send you a playback link of the actual live presentation and the handouts.

If you know you will not listen live; you do not need to purchase the playback link for an additional $49.95. If you will listen live and want the playback link, add on the playback for an additional $49.95. The playback link can be viewed on your computer as many times as you would like, and audio comes through your computer speakers.

The Playback link is emailed within 72 business hours after completing the webinar.

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. 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.

Version 28.2 is effective with dates of service between July 1 – September 30, 2022. This 1-hour webinar program will explain NCCI edits, the use of modifier 59 and what CPT code(s) to append modifier 59 to on the claim form. In addition, the webinar will provide detailed and realistic examples when providers of outpatient therapy services would utilize modifier 59. Examples will include all 3 disciplines as well as how speech therapy billing impacts the physical and occupational therapy codes billed the same day. The webinar will also provide the latest information on the XE, XP, XS and XU modifiers. Lastly, participants will receive Gawenda Seminars & Consulting NCCI Version 28.2 “cheat sheet” to assist them in knowing when to apply modifier 59 to a CPT code on the claim form.

If you have questions about registration or logistics for this webinar conference, please contact the Webinar Conference Manager Michelle Gawenda.

661.350.6187

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