Sep 11th, 2018
Scrubbing is the best way to ensure your claims are clean of unbundling overpayments. A hospital finance department should not treat National Correct Coding Initiative (NCCI) edits as irrelevant to inpatient billing simply because payers don’t use the NCCI to edit inpatient claims before payment. Instead, hospitals should institute internal controls to ensure claims are ...
In Coding
Jun 13th, 2018
Bone marrow aspiration and biopsy codes received updates in CPT® 2018 that significantly change how the services are reported. Existing codes 38220 and 38221 were revised: 38220 Bone Diagnostic bonemarrow; aspirationonly(s) 38221 Bone Diagnostic bonemarrow; biopsy, needle or trocar(ies) Note: To demonstrate the updates for 2018, new text is underlined and deleted text is struck ...
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 ...
New, deleted, and revised codes capture the latest in endovascular repair. Major changes went into effect for coding endovascular repair procedures on Jan. 1. Multiple surgical codes (34800-34806, 34825-34826, 34900) and radiological supervision and interpretation (S&I) codes (75952-75954) were deleted and replaced with new codes describing endovascular repair of the abdominal aorta and/or ilia...
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...