This online course will provide participants with information on NCCI Edits Version 33.0 that will be in effect with dates of service beginning on January 1, 2026 and lasting through March 31, 2027.
The National Correct Coding Initiative (NCCI) Edits Version 32.0 are in effect for dates of service January 1, 2026 – March 31, 2026. NCCI edits are used in all outpatient therapy settings for original Medicare and Medicaid beneficiaries. In addition, some Medicare Advantage plans, commercial insurers, and workers compensation programs also utilize the NCCI edits. Gawenda Seminars & Consulting has created a NCCI Edit therapy specific reference sheet for both Medicare and Medicaid. These reference sheets will inform providers when modifier 59 is required on a CPT code on the claim form. In addition, the reference sheet will inform providers … Read More
The National Correct Coding Initiative (NCCI) Edits Version 31.2 are in effect for dates of service July 1, 2025 – September 30, 2025. NCCI edits are used in all outpatient therapy settings for original Medicare and Medicaid beneficiaries. In addition, some Medicare Advantage plans, commercial insurers, and workers compensation programs also utilize the NCCI edits. Gawenda Seminars & Consulting has created a NCCI Edit therapy specific reference sheet for both Medicare and Medicaid. These reference sheets will inform providers when modifier 59 is required on a CPT code on the claim form. In addition, the reference sheet will inform providers … Read More
This online course will provide participants with information on NCCI Edits Version 32.0 that will be in effect with dates of service beginning on January 1, 2026 and lasting through March 31, 2026.
This online course will provide participants with information on NCCI Edits Version 31.2 that will be in effect with dates of service beginning on July 1, 2025 and lasting through September 30, 2025.
The National Correct Coding Initiative (NCCI) edits Version 30.3 are effective with dates of service October 1, 2024 – December 31, 2024. As a Gold, Platinum, or Diamond Member to my website, you have access to our NCCI Edit “cheat sheet” for modifier 59 that is specific to outpatient physical, occupational, and speech therapy services. To access NCCI Edits Version 30.3 for Medicare, click HERE and log into your account. To access NCCI Edits Version 30.3 for Medicaid, click HERE and log into your account.
The National Correct Coding Initiative (NCCI) edits are updated quarterly by the Centers for Medicare and Medicaid Services (CMS). NCCI Edits Version 30.2 will be effective for dates of service July 1 – September 30, 2024. There are 2 new edits that could have an impact on outpatient therapy billing if you are providing caregiver training services and billing CPT codes 97550 or 97552. To access the latest version of NCCI edits for Medicare on my website, click HERE. To access the latest version of NCCI edits for Medicaid on my website, click HERE.
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.