DecisionHealth, DecisionHealth - 2020 Issue 3 (March)

Check with your MAC on retroactive rollback of 59 Q1 CCI edits

Take heart if you’ve been getting denials this year for therapy evaluations (97161-97172) when reported with one-on-one therapy activities (97530) or group therapy procedures (97150). The National Correct Coding Initiative (CCI) edits that caused those denials have been deleted retroactive to Jan. 1, and you can get reimbursed for the denied claims.

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