Data Files

Correct Coding Initiative tables unique to the Outpatient Prospective Payment System are essential to accurately reporting facility outpatient procedures. This easy-to-add, easy-to-manipulate file, updated quarterly, helps you report and be paid accurately.

Benefits

• Promote compliant NCCI coding of healthcare services rendered in the outpatient facility

• Decrease denials from incorrectly coded outpatient claims by letting your reimbursement professional follow the rules based on these edits

• Prevent improper payments when your outpatient claim bills more than one service on the same date of service for the same beneficiary

• Access the essential compliance data incorporated in almost all payers’ coverage policies

Features

• A single searchable file of the NCCI policy manual included with your data files saves staff time hunting for applicable changes through the numerous sections of CMS’s online-only manual

• Automated procedure-to-procedure pairs and procedure-to-units of service pairs identify improper outpatient hospital coding scenarios

• Developed to save staff time from incorporating raw or delayed data by providing the data in database-friendly formats: Pipe delimited and xls

• Designed for your existing coding/billing systems or third party software to directly import and utilize this data from a single source without any installs

• Access this file as early as possible the month prior to the effective date (Dec - Q1, March - Q2, June - Q3, Sept - Q4) to allow maximum time for educating staff on changes and incorporating edits on the backend