Synopsis: The National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUEs) can be difficult and time consuming to resolve. It is often unclear where to find information and who is going to research the edit to determine whether a modifier is appropriate or if an unbundling situation is present. Without understanding the edits and how to resolve them appropriately, efforts may be duplicated, and revenue may be lost. This session will address these concerns and provide examples and strategies to mitigate the edits.
• Explanation of the National Correct Coding Initiative
- Introduction to the NCCI Policy Manual
- Types of edits and the use of modifiers
- Effects on processes and operations
- Real life examples
- Explanation of how and why MUEs were created
- Application of MUEs
- Real Life examples
- Applications and Resolutions
- Prebilling strategies
- Including all costs for the services provided
- Appealing MUE determinations
- Submissions for requesting changes to the NCCI edits and instructions
Cancellation Policy: Registrants will receive a full refund up until the day before the event. No refund will be given for cancellation on the day of the event.
Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credits.
AGD - Accepted Program Provider
Provider ID# 214680
The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Oral and Maxillofacial Surgeons designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s )™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For AAPC credit, please contact AAOMS Coding and Reimbursement Staff at 800/822-6637.
AAOMS thanks OMSVision for its generous support of this webinar.