In Billing
Feb 25th, 2019
The Centers for Medicare & Medicaid Services (CMS) issued a policy change modification to the claims processing logic for Modifier 59 Distinct procedural service (and the optional XE, XS, XP, and XU) on February 15, 2019. These modifiers are only processed when applied to the Column 2 code in a bundled pair, per Correct Coding Initiative ...
In Coding
May 3rd, 2018
The national Correct Coding Initiative (CCI) chapter guidelines are a great resource to find coding tips. To illustrate, here are three nuggets of coding knowledge found in just a single chapter (chapter 13) of the guidelines: Blood Draws from Venous Access or Catheter Only Separate for Lab Services Codes 36591 Collection of blood specimen from ...
In Audit
Mar 7th, 2018
Section-specific examples have been added to the Medicare National Correct Coding Initiative (NCCI) Policy Manual. These examples reveal the rationales behind the edits contractors use to vet medical claims for incorrect code combinations. Take the Initiative to Correct Coding The Centers for Medicare & Medicaid Services (CMS) implemented the NCCI to promote national correct coding methodolog...
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 Billing
Jan 6th, 2015
By Dorothy Steed, CPC-H, CPCO, CPMA, CPC-I, CEMC, CFPC Electronic billing systems usually have built-in claim scrubbers to prompt billers to enter claim information. Providers should not assume that the scrubber will eliminate the need for quality billing skills. The biller should be well trained and knowledgeable about multiple payer requirements. Regardless of whether the ...