tci General Surgery Coding Alert - 2000 Issue 2

Correct Coding Initiative 101: Understanding Medicares CCI Is Powerful Compliance Tool

Unbundlingcoding for two or more procedures that should not be billed togetheris a major compliance problem. But many surgeons dont understand this concept, which can lead to claim denials. By reviewing the basic ideas behind bundling, such as mutually exclusive and component and comprehensive codes, general surgeons can avoid such problems.By far the largest source of bundling combinations, or edits, is Medicares national Correct Coding Initiative (CCI), which has developed coding policies and more than 120,000 edits for reimbursement compliance to better control improper coding.Although the CCI has been in place since Jan. 1, 1996, many...

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