edits

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    Wiki EPIC Edits

    Good morning to everyone, Your assistance is very much appreciated. I am very new to EPIC. Currently we have a rule that will notifying the physician (they are in charge entering E/M level) when the patient is considered new (3 year rule). However, we have a few subspecialties and the current...
  2. C

    Wiki NCCI Edit help requested

    Greetings! Looking for everyone's best advice on NCCI edits! I have been certified a couple years now and have basic understanding of NCCI edits - but would like to do a deeper dive and wonder if anyone has great advice, best resource(s), etc. to recommend. How did you get to the best...
  3. R

    Wiki Need help creating edits in MICRO MD

    Does anyone have experience with Edits/Rules in MICRO MD? I have several I need to create but running into a few issues. Thank you!
  4. S

    Wiki Any Radiation Oncology Experts?

    We are running into a bit of an issue when coding 77300, 77301 and 77307. The following edits appear: Column 1 / Column 2 77301 / 77307 Column 1 / Column 2 77307 / 77300 Since 77301 does not allow 77307, once I remove 77307 am I ok to bill 77300? Or because they all exist together on the...
  5. G

    Wiki NCCI Edits

    If an NCCIi edit has been deleted, why can it not be deleted from the list? It seems that the NCCI Edits list is ridiculously long! Is there a reason for them keeping them?
  6. A

    Wiki Billing Endoscopy Codes

    Can CPT code 31276 Rt be billed with 31296 LT. I checked the CCI edits and it indicated that it could but required a modifier. Possibly -50 bililateral. Please advise
  7. S

    Wiki NCCI edits policy for different surgeons working together

    Dear All: Good day! I have a query regarding the NCCI edits policy for diffrent surgeons working together in same operative session. Eg. Gyn Specialist performed CPT 58150(Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)...
  8. D

    Wiki Mohs Reimbursment

    I am having trouble with Health Net Federal Services reimbursing Mohs procedures when multiple units are billed on one line. Also they are still applying modifier 51 to the first repair procedure. It's obvious their system edits are not correct and they have told me it does not matter what...
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