Tag Archive | "CCI edits"

2 Costly Hip Coding Mistakes Corrected

Tuesday, April 18, 2017

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With all the hippity hoppity talk this time of year, I have coding for hips on the brain. Might as well go with it and look into some hip coding tips! 1. Watch for Mod 22 Opportunities With Congenital Cases If your surgeon performs hip replacement surgery for a developmental or congenital hip dislocation, there’s […]

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Get Ready for 99,490 New CCI Edits Coming January 1

Tuesday, December 27, 2016

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January 1 means new CPT® and HCPCS codes, and one consequence of that is a whole lot of changes to National Correct Coding Initiative edits (aka NCCI edits or CCI edits). While every quarter brings updates to CCI edits, the changes to the January version tend to be pretty numerous because they have to incorporate […]

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Get Reimbursed for Anesthesiologist Postoperative Pain Management

Tuesday, May 3, 2016

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When a surgeon asks your anesthesiologist to perform a nerve block postoperatively for pain control, some tricky coding issues could keep you from obtaining full reimbursement for this otherwise separate service. When Can Anesthesiologists Bill Separately for Postop Pain Management? According to the American Society of Anesthesiologists (ASA), you can bill for a separate postoperative […]

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Check Out CCI Edits for Cardiology Coding

Monday, April 4, 2016

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Version 22.1 of the National Correct Coding Initiative (NCCI or CCI) just went into effect April 1. But did you catch that the NCCI Manual saw some updates way back in January? It contains some interesting changes that cardiology coders will want to pay attention to. We’ll detail one of them here. As you know, […]

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Health Plan Consolidation – Threat to Practice Revenue?

Friday, July 10, 2015

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As health insurers consolidate in the wake of the Supreme Court’s latest ruling to uphold the Affordable Care Act, health plans Aetna and Humana are set to merge in a deal worth more than $34 billion, according to the Wall Street Journal. The merged Aetna and Humana will become the second largest of the current […]

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Urology Coding Alert – Gear-Up For All The Changes In 2014

Thursday, October 10, 2013

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All the practices will experience innumerable coding and billing changes in the coming year. But the good news is that there won’t be too many changes in Urology. But as stated by CMS, one needs to start preparing now for all the changes, here is a sneak- peak of all the changes in the coming […]

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Understand CCI Edits With Online CCI Edit Lookup to Stay Compliant

Wednesday, August 14, 2013

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NCCI (The National Correct Coding Initiative) or CCI edits as it is commonly known was created to ensure accurate coding and avoid inappropriate Medicare Part B payment. But it has been observed over time that not many coders can use it effectively. Generally, CCI edits refer to HCPCS or CPT codes that cannot be reported […]

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93015 Includes Stress Agent Admin

Monday, July 16, 2012

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Question: When we perform stress tests, may we report an injection code for the administration of the pharmacologic agent? Answer: No, you should not report a separate injection code to represent administration of a pharmacologic agent during a stress test. You should consider the administration included in the stress test code, such as 93015 (Cardiovascular […]

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Correct Coding Guidelines: CCI Policy Manual Restricts Coverage for Procedure + Imaging

Thursday, February 23, 2012

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Keeping up with Correct Coding Initiative (CCI) quarterly updates to the edit-pair lists will only get you so far in Medicare billing compliance. You also need to study guidance that CMS puts out in the National Correct Coding Initiative Policy Manual, the latest being a Jan. 2012 update that could have significant impact on your general […]

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