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Medicare Compliance & Reimbursement

CORRECT CODING INITIATIVE:

Resubmit Previously-Bundled Claims

Published on Sun Sep 06, 2009

CCI 15.3 retroactively deletes hundreds of edit pairs,but institutes over 18,000 new bundles. If you thought the last version of the Correct Coding Initiative (CCI) left no stone unturned in bundling moderate sedation, think again. CCI's version 15.3, which takes effect Oct. 1, continues the trend, bundling 99148-99150 into most of the other CPT codes, and no modifier can separate the bundles. Modifier changes: CCI 15.3 also ensures that you won't collect when you report thousands of bundles that previously had a "1" modifier (which meant that you could append a modifier to the bundled code and your carrier would possibly reimburse you for both codes). "In total, there were 73,054 edit pairs reported with a modifier indicator change for this release," said Frank Cohen, MPA, senior analyst with MIT Solutions Inc. in Clearwater, Fla., in a Sept. 11 news release. "320 pairs went from an indicator of 0 (can't [...]
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