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Learning To Love CMS Edits
January 30, 2018, 2:00 PM until 3:00 PM
Hosted by Seth Avery
The rate at which the transition from volume to value-based payments is occurring at different rates across markets and providers. Moving too quickly or too slowly risks losing money in fee-for-service contracts or value-based payments. Timing is everything, and varies in each market. In this session, we will review electronic edits used by Medicare to include: Outpatient Code Editor (OCE). Medical Code Editor (MCE) and National Correct Coding Initiative (NCCI). Other topics include value and condition codes within the ANSI 837 standards.
Seth Avery has over 25 years of experience as a healthcare executive, serving as an auditor, consultant, Administrator and Chief Financial Officer (CFO). He has been certified by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC). He has a BS from Campbell University, an MA from the University of New Mexico and a Juris Doctor from Texas A&M University.