NCCI Edits and the Relative Value File

CMS publishes two files to assist coders in proper coding guidelines for their beneficiaries.  Most other insurance carriers utilize these files in one way, shape or form, to establish their coding and policy guidelines.  It is critical that everyone working in the revenue cycle knows and understands these two files to and how they apply adjudication of claims for maximum reimbursement.

We will pull apart these two files and look at each column and its meaning.  I will show attendees how to customize these files to make them easier to use in there day to day tasks and how they can be used in the claims appeals process.

Webinar Highlights

• What do these files tell us
• Updates to the files.  When are they updated
• How to utilize the information in the attendees day to day tasks
• Customizing the files for easier use
• What does the information mean to reimbursement

Who Should Attend

• Coders
• Administrators
• Auditors
• Collections staff
• Claims staff
• Billers