Tag Archive | "CCI"

Your Guide to CCI Trends for the End of the Year

Monday, September 30, 2019

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On Oct. 1, 2019, there will be 118 new National Correct Coding Initiative (NCCI or CCI) edits for physicians reporting to Medicare. Keep your coding up to date and in compliance with the edits with this quick overview featuring path/lab, allografts, venous procedures, and radiation oncology. Keep in mind: The edits we’re talking about here […]

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Learn Coronary Artery Anatomy According to CPT® and CCI

Thursday, August 22, 2019

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When your job is converting medical documentation into codes, your knowledge of medical anatomy has to be shipshape. But you’ve got the added complication that the code set you’re using may have its own definitions for specific terms. Case in point: CPT® guidelines set out five major coronary arteries with coronary artery branches for only […]

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CCI Modifiers: July 1 Update to Modifier 59 Rule Is Now in Force … and More

Tuesday, July 16, 2019

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Modifiers are the key to overriding Correct Coding Initiative (CCI) edits, so let’s give them the attention they deserve. We’ll start with a recent rule update and move on to helpful hints about CCI-associated modifiers in general. Which CCI edits? Our focus here will be Medicare CCI Procedure-to-Procedure (PTP) edits for physicians and practitioners. Do […]

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Make the CCI Manual Your Go-To Guide for Shoulder Arthroscopy With Debridement

Thursday, March 21, 2019

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Before you code debridement with shoulder arthroscopy, make sure you know what the Medicare Correct Coding Initiative (CCI) manual has to say. You’ll find the highlights here to help you get started. Where to look: You’ll find these instructions in chapter IV, section E, of the Medicare CCI manual. Same Shoulder? Stick to the Basic […]

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Look Ahead to These 3 Trends for April 2019 CCI Updates

Monday, March 4, 2019

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Think Medicare’s April CCI updates are small potatoes? You may reevaluate that stance when you learn there are more than 11,000 additions planned for April 1, 2019. To help make it manageable, watch the three areas below. Our focus: The topic here is Medicare practitioner procedure-to-procedure (PTP) Correct Coding Initiative (CCI) edits that will be […]

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Modifier 59 Misuse Cost 1 Health System Millions — Know Where to Go for the Rules

Monday, January 7, 2019

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Exploiting modifier 59 was a major factor in a recent $12.5 million settlement for False Claims Act allegations. How’s that for motivation to shore up your modifier 59 know-how? Here are some resources to get you on your way. Read the Write-Up on the Recent False Claims Act Settlement Find out some of the details […]

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2 Knee Arthroscopy Myths You Need to Bust Right Now

Wednesday, May 23, 2018

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There are a lot of possible variations for knee arthroscopy services, so you’ve got to know where to go for help on coding them. Make sure your knee arthroscopy claims don’t fall victim to these two error-causing myths! Follow the guidance in the Correct Coding Initiative manual. Myth: Report G0289 Along With 29880/29881 for Chondroplasty […]

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Know When CCI Manual Says to Use Bone Marrow Code 38222

Monday, March 19, 2018

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The addition of diagnostic bone marrow and biopsy code 38222 in the CPT® 2018 code set simplified coding in some ways (multiple procedures in one code), but there are still questions to be answered about how to handle specific scenarios. In case you missed it, the 2018 Correct Coding Initiative (CCI) manual answered some of […]

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Here’s What’s New in Q2 for CCI, MPFS, and HCPCS

Monday, March 27, 2017

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It’s almost April! In addition to a potential end to the yellow pine pollen covering every surface outside my home (yours, too?), April means second quarter updates to Correct Coding Initiative (CCI) edits, fee schedules, and HCPCS. Ready for some highlights? Let’s go! CCI for Moderate Sedation Goes Retro If you read this blog regularly, […]

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CCI Errors: Some Moderate Sedation Pay May Be Delayed Until April

Friday, January 27, 2017

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  Seeing the new 2017 moderate sedation codes appear among the 99,490 new National Correct Coding Initiative (NCCI or CCI) edits wasn’t really a surprise, but a handful of those edits just might cause you some headaches all the same. The culprit? Modifier indicators. The good news? There should be a correction in the next […]

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