NCCI Edits and Modifier 59 Changes

The Centers for Medicare and Medicaid Services (CMS) updates the National Correct Coding Initiative (NCCI) edits every quarter. Effective with dates of service on and after July 1, 2019, CMS is changing how modifier 59 is appended to a CPT code(s) on the claim form. Click below for the full webinar description, objectives and to register.

Outpatient Therapy Common CERT Errors

The Centers for Medicare and Medicaid Services (CMS) has released a new booklet where they describe common outpatient rehabilitation therapy services Comprehensive Error Rate Testing (CERT) Program errors, how the CMS calculates improper payment rates, the necessary documentation to support billed Medicare claims, and managing potential overpayments. Some of the more common CERT errors include:…