tci Part B Insider - 2017 Issue 5

Part B Coding Coach: Understand the Nuances of CCI Edits to Cardiology

Use this primer to prepare for what’s ahead. CMS initiated the Correct Coding Initiative (CCI) to promote better coding and reduce improper payments. Take a look at these fundamentals that help you clarify CCI edit pairs for cardiology. Identify PTP Edits for Clarity Fun fact: CCI edits are more than 20 years old. In 1996, CMS implemented Procedure-to-Procedure (PTP) edits. These edits indicate the CPT® and HCPCS code pairs you should normally not report together. CMS updates its PTP edits quarterly. If you’ve been in the coding game a while, you may remember the days when CMS...

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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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