tci Part B Insider - 2009 Issue 43

CCI: Learn CCI Basics -- Or Watch Denials Flood In

Not overriding when you can means missing billable services. If you don't understand what Correct Coding Initiative (CCI) edits are, how they work, and how they affect your claims, you're risking denials, fraud charges, and lost reimbursement. Check out these top three frequently asked questions -- and expert answers -- to increase your CCI know-how. 1. What Is a CCI Edit? Every quarter CCI puts out a list of code pairs that Medicare -- and many private payers -- follow when they reimburse physician practices. The CCI edits list pairs of CPT and HCPCS codes that payers will not...

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Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

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