Overturn Payer Denials Due to 2023 NCCI Edits & Get Paid More

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Medicare utilizes NCCI edits as a justification to deny the reimbursement of your claims.

Why does it work? Because NCCI edits are confusing, difficult to find, and subject to constant change — and Medicare likes it this way. The harder it is for you to master them, the easier it is for payers to use them to avoid paying your claims.

Adding to the confusion, you can only separate the NCCI edits in very particular circumstances. Appending a modifier when Medicare doesn’t allow it can set you up for accusations of fraud, cash recoupments, and major financial sanctions.

To hang onto your deserved pay, you must fight these denials immediately. Your success depends on your employment of a two-pronged approach:

  1. Master the NCCI edits to stop bundled PTP (Procedure-to-Procedure) code pair denials
  2. Avoid incorrect payment discounts with proven RVU (Relative Value Unit) calculations

Fortunately, you don’t have to figure this out on your own. Coding expert Lynn M. Anderanin, CPC, CPB, CPMA, CPPM,  CPC-I, COSC, is here to provide you with the EXACT strategies necessary to collect more of the money you are due. During her online training, Lynn will walk you through her insider tactics that will help you fight back against NCCI denials and bring in more of the reimbursement you rightfully deserve.

Here are just a few of the step-by-step NCCI strategies you’ll master by attending Lynn’s 60-minute online training:

  • Recognize when modifier 59 can and can’t help you bypass NCCI edits
  • Demystify the differences between column 1 and column 2 edits
  • Master Medically Unlikely Edits (MUEs) to sidestep frequency denials
  • Navigate the 31 fee schedule columns to pinpoint the most accurate RVUs
  • Recognize when facility vs. non-facility payments apply, it’s not always when you think
  • Identify how global periods influence your pay—and what you can do about it
  • Calculate how much pay you can expect when payers take multiple procedure discounts
  • Locate and utilize the most recent NCCI procedure bundles to slash PTP denials
  • Ethically customize and tailor the Physician Fee Schedule to get more of your claims paid
  • Implement policies that help you fight back and win against bad NCCI denials
  • And so much more…

Payers want you to believe they are on your side – when the complete opposite is actually true. You want payers to reimburse you for the services you provide to their beneficiaries, and payers want to keep as much of their money as possible (and NCCI edits supply payers with a perfect way to achieve their goal).

The best chance you have of being correctly reimbursed is to combat NCCI edit denials and win, and this upcoming online training can help. By attending this expert-let training, you’ll be able to more successfully overcome the complexity and confusion of NCCI edits, and fight back against unjust denials to get them paid.

Don’t let insurers capture the pay YOU deserve. Sign up for this must-attend, expert-led online training session today.

Meet Your Expert

Lynn Anderanin
CPC, CPB, CPPM, CPMA, CPC-I, COSCSr. Coding Educator, Healthcare Information Services, LLC

Lynn Anderanin, has over 40 years’ experience in all areas of the physician practice. In her current position, where she has been for 25 years, Lynn is the Sr. Coding Educator for Healthcare Information Services, LLC a revenue cycle management company in the Chicago.  Lynn has also been workshop, conference, and webinar presenter in addition to an instructor for the last 22 years. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, as well as several other committees for the AAPC. She is also the founder of her Local Chapter of the AAPC.