Speakers

Voices that drive change.

Kimberly Jolivette Williams, CPCO, CPC, CPC-I, CPB, CPMA, CANPC, CCC, CEMC, AAPC Approved Instructor, AAPC Fellow

Coding Compliance Supervisor | Adjunct Instructor / Jolivette MediCoding Institute, LLC - JMCI / Wylie

Group discounts are available for teams.

Sessions by Kimberly Jolivette Williams

1.25 CEU

Grapevine B

Wed, May 6 at 01:00 PM CDT (06:00 PM UTC)

75 MIN

8H | From Policy to Practice: Understanding CMS Coverage Rules and Edits

Join us for an essential deep dive into the world of Medicare compliance as we explore how to navigate CMS and MAC-issued coverage and coding guidelines. This session will break down key regulatory tools including national coverage determinations and local coverage determinations, helping you understand how these policies guide medical necessity and reimbursement. We’ll also demystify Medically Unlikely Edits and National Correct Coding Initiative edits, with a special focus on Procedure-to-Procedure edit pairs — clarifying when code combinations are allowed or denied. Ideal for new and developing auditors, coders billers, and compliance officers, this session will provide practical insights and real-world examples to help you apply these tools confidently. Whether you're looking to prevent denials, ensure accurate claims, or simply improve your audit readiness, this overview will equip you with the knowledge to stay aligned with CMS' expectations and safeguard your organization.

Audit