Data Files

Billing data files help you meet billing requirements and achieve accurate chargemaster set-up, billing and claims processing.

Revenue codes

Provides a list of Revenue codes with descriptors that can help you meet billing requirements and achieve accurate chargemaster set-up.

The National Correct Coding Initiative edits data file

AAPC's NCCI ASCII data files provide National Correct Coding Initiative (NCCI) edits between CPT^®/HCPCS Level II codes. The NCCI edit rules and modifier indicators are formatted as pipe-delimited text, fixed width text, and as a spreadsheet with separate columns. The easy-to-interpret files are perfect for providers, outpatient facilities, claim scrubbers, auditors, and payers.

Medical necessity (LCD & NCD) carrier/contractor specific data file

Check procedures for Medicare coverage instructions and medical necessity edits. The LCD/NCD data file ensures accurate medical necessity for services with applicable LCD/NCD data based on your locality and Medicare payer. Easily match procedure codes to the proper diagnoses and define rules by locality.

Practitioner MUE's

Avoid payer denials by ensuring your provider or supplier follows the rules for allowable MUE units. This data file identifies the number of times a code can be billed on a particular date of service.