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 webinar 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.

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.

The Centers for Medicare and Medicaid Services (CMS) will not be releasing a 2023 second quarter NCCI edits update. CMS has instructed Medicare Administrative Contractors as well as suppliers and providers of outpatient therapy services to continue to use the 2023 1st quarter NCCI edits until they release the 2023 3rd quarter NCCI edits. To access the 2023 1st quarter NCCI edits specific to outpatient therapy, click HERE.

This webinar will provide participants with information on NCCI Edits Version 29.0 that became effective with dates of service beginning on January 1, 2024 and lasting through March 31, 2024.

The National Correct Coding Initiative (NCCI) Edits, Version 29.0, become effective with dates of service January 1, 2023 – March 31, 2023. NCCI edits are used by the Centers for Medicare and Medicaid Services (CMS) to combat abusive and fraudulent billing practices. In addition, many state Medicaid programs, workers compensation carriers and commercial insurance carriers also utilize NCCI edits when processing outpatient physical, occupational and speech therapy claims. Gawenda Seminars & Consulting provides a NCCI Edit Therapy Specific reference sheet for our members that enable the members to know when modifier 59 is and is not required to be appended

This webinar will provide participants with information on NCCI Edits Version 29.2 that became effective with dates of service beginning on July 1, 2023 and lasting through September 30, 2023.