Get your CCI edits right to avoid Medicare denials

The Correct Coding Initiative (CCI) edits are used by Medicare and other payors to bundle procedures that have been billed separately. These edits are one of the main causes behind Medicare denials. To further add to the woes, these edits are subject to revision on a quarterly basis. If you are not aware of the ever-changing CCI edits, you run the risk of claim denials, lost reimbursement, and potential recovery actions.ns.

More than 285,000 CCI edits are used by CMS to review claims for unbundling and correctable coding errors. The 2010 edition of Correct Coding Initiative (CCI) edits, version 16.0 is effective for claims filed on or after the first of January early next year. You can get all the updates in the Correct Coding Initiative (CCI) Edits manual, which you can get hold of in two ways. The first is through the CMS website, which contains a list of the CCI edits, by specific CPT sections. You can also obtain the CCI edits manual by purchasing the manual or sections of the manual from the NTIS website.

Apart from these, there are other one-stop coding websites which makes it easy for you to determine if any two CPT/HCPCS codes may be billed together, with or without a modifier. You can turn to such websites for all active NCCI Column 1 and Column 2 CPT/HCPCS codes with symbols clarifying modifier usage, extensive coverage of general and CPT section specific coding rules, among a host of other tips and tricks of the trade.

All you need to do is sign up for one and unravel the treasure trove of medical coding know how that it has on offer.

We provide you simple, instant connection to official code descriptors & guidelines and other tools for CEU Seminars, correct coding initiativethat help coders and billers to excel in the work they do every day.