ED Coding and Reimbursement Alert

Review these tips to fully understand how CCI impacts your code selection.Write a simple catchy lead sentence that summarizes the challenge with CCI for ED coders. Make this really ED-focused. What's CCI? National Correct Coding Initiative (CCI) policies were established by The Centers for Medicare and Medicaid Services (CMS) based on coding conventions that are defined in the AMA's CPT® manual, local and national policies and edits, guidelines developed by national societies, analysis of standard medical and surgical practices, and a review of current coding practices. What're edits for? Edits were developed to prevent incorrect coding, which in turn could lead to improper payments for services. These edits are utilized by Medicare claims processing contractors to review claims for physician services and outpatient hospital service. The National Correct Coding Initiative Manual for Medicare Services is updated annually in October and is a reference to explain the rationale for the code [...]