Audio Conferences
Audio Conferences
Understanding CCI Edits & Medicare's "8 Minute Rule"
This 1.5 hour audio conference will discuss Correct Coding Initiative (CCI) edits utilized by the Centers for Medicare & Medicaid Services as it applies to outpatient rehabilitation therapy services reimbursed under the Medicare Physician Fee Schedule. The audio conference will also discuss Medicare's "8 minute rule" and include a pre and post-test to ensure that therapists and assistants accurately and correctly bill the Medicare program for treatment rendered.
Agenda:
- CCI Edits
- Modifier-59
- Documentation to support separate and distinct
- Mutually exclusive versus column 2
- Which CPT code requires modifier-59
- Case example
- Medicare's "8 Minute Rule"
- Which CPT codes are included
- Total time of timed based codes
- Can you bill a timed code provided for 7 minutes or less
- Pre and Post Test
- Medicare versus non-Medicare payer
- Answers with rationale
Learning Objectives:
- Define and distinguish between mutually exclusive edits and column 1/column 2 edits
- Be able to understand the CCI edit chart and appropriately append modifier-59 to the correct CPT code(s)
- Be able to document appropriately to support the treatments provided when using modifier-59
- Understand which CPT codes are to be included in the "8 minute rule"
- Be able to charge correctly for the services you provide under outpatient therapy benefits
Topics Available:
Comprehension of Rehabilitation CPT Coding
Understanding CCI Edits and Medicare's "8-Minute Rule"
