Gawenda

NCCI Edits & Modifier 59: Version 30.2

Please join us as Gawenda Seminars & Consulting, Inc. presents “Understanding NCCI Edits and Modifier 59: Version 30.2” webinar conference on June 12, 2024 from 1:00PM – 2:00PM eastern daylight time. This webinar will provide participants with information on NCCI Edits Version 30.2 that became effective with dates of service beginning on July 1, 2024 and lasting through September 30, 2024.

Date

June 12, 2024
Expired!

Time

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

Cost

$79.00
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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 30.2 becomes effective with dates of service between July 1 – September 30, 2024.

This 1-hour webinar program will explain NCCI edits, the use of modifier 59 and what code(s) to append modifier 59 to on the claim form as well as provide the participants with any significant changes to the procedure-to-procedure (PTP) edits effective beginning on July 1, 2024 that will impact outpatient physical, occupational and speech therapy services. 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. Lastly, participants will receive Gawenda Seminars & Consulting NCCI Version 30.2 “cheat sheet” to assist them in knowing when to apply modifier 59 to a CPT code on the claim form. In addition, the webinar will explain how the reinstated NCCI edits will impact the billing of outpatient therapy services to commercial insurance carriers such as Aetna, Anthem BC, Humana and many others.

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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