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 ...
In Coding
Aug 2nd, 2013
CPT® codes designated as “separate procedures” are considered to be incidental and bundled with any related comprehensive/major procedure when performed during the same session, through the same incision, and/or at same anatomic site. A separate procedure may be reported only if: 1. It is the only procedure performed, or 2. It is unrelated to or ...
May 1st, 2008
by Jessica Edmiston, BS, CPC For years, many of the larger carriers have used a policy called “matching.” Matching is when you code a facility claim accurately according to the documentation, submit the claim; and, if your claim arrives before the professional claim, it is kicked into pending status for the carrier to verify that ...