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