Gawenda

NCCI Edits & Modifier 59: Version 31.0

Please join us as Gawenda Seminars & Consulting, Inc. presents “Understanding NCCI Edits and Modifier 59: Version 31.0” online course on January 8, 2025 from 1:00PM – 2:00PM eastern standard time. This online course will provide participants with information on NCCI Edits Version 31.0 that will be in effect with dates of service beginning on January 1, 2025 and lasting through March 31, 2025.

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$79
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Standard Registration for January 8, 2025 webinar "NCCI Edits and Modifier 59: Version 31.0"

The "Standard Registration" ticket is Online registration for this webinar has closed. If you would still like to register for this webinar to listen live today, please call Michelle at 661-350-6187.. You can try another ticket or another date.
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Additional Site Registration for January 8, 2025 webinar "NCCI Edits and Modifier 59: Version 31.0"

The "Additional Site Registration" ticket is Online registration for this webinar has closed. If you would still like to register for this webinar to listen live today, please call Michelle at 661-350-6187.. You can try another ticket or another date.
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Playback Link Registration
$49.95
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Playback Link Registration for January 8, 2025 webinar "NCCI Edits and Modifier 59: Version 31.0"

The "Playback Link Registration" ticket is Online registration for this webinar has closed. If you would still like to register for this webinar to listen live today, please call Michelle at 661-350-6187.. You can try another ticket or another date.

Date

January 8, 2025

Time

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

Cost

$79.00
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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.woocommerce-345137-2568417.cloudwaysapps.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 31.0 becomes effective with dates of service between January 1 – March 31, 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 January 1, 2025 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 31.0 “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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