In CMS
Jan 12th, 2018
The Centers for Medicare & Medicaid Services (CMS) announced on Jan. 9 the launch of their Innovation Center’s Bundled Payments for Care Improvement Advanced (BPCI Advanced) payment model. It’s voluntary and can earn providers payment if all costs for a patient’s episode of care are “under a spending target that factors in quality.” This differs ...
In CMS
Nov 23rd, 2015
It is as regular a part of Winter as stocking up on firewood. Version 22.1 of the Correct Coding Initiative (CCI) will be ready for upload after the first of the year, a reminder to providers and payers alike of the changing nature to the federal bundling rules. A test file will be available approximately January ...
In Audit
Oct 15th, 2014
Coders learn early and are reminded often to avoid unbundling, or separately reporting procedures/services that are meant to be reported together, using a single code. As the introduction of the National Correct Coding Initiative (NCCI) Policy Manual explains, “Procedures should be reported with the most comprehensive CPT® code that describes the services performed.” To make ...
Learn to correctly unbundle codes for proper payment of these services. By Erica T. Cousin, CPC, CPC-I National Correct Coding Initiative (NCCI) version 20.1 includes code pair 36415 Collection of venous blood by venipuncture and 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the ...
Jun 1st, 2012
 Find out the latest on gastroesophageal reflux diagnosis and treatment coding. By Rebecca M. Hovis, CPC, CPC-P, CGIC Gastroesophageal reflux is the backward flow of the gastric contents into the esophagus due to improper functioning of the lower esophageal sphincter (also called the cardiac sphincter). Gastroesophageal reflux disease (GERD), ICD-9-CM 530.81 Esophageal reflux, is a ...