A smart customer reached out with a question about what looked like a conflict - that a modifier was allowed in one setting but not another for the same two codes. While this is common (NCCI has 2 versions - Hospital and Physician), the investigation lead to a great example that illustrates an important issue with how CMS can introduce retroactive changes.

Physician NCCI

I don’t know about you, but I learned so much at the New England AHIMA and Long Term Care conference this week at Mohegan Sun in Connecticut!  As a solution specialist, I am always mindful of the ways that compliance, coding and reimbursement professionals are inundated with an overwhelming set of challenges.  Having time at smaller shows like this gives me a great opportunity to hear from MediRegs Coding Suite and ComplyTrack clients who tell us regularly how our tools help, and I’d like to share some of this with you.