tci Part B Insider - 2003 Issue 7

CODING: Don't Let Defunct Edits Bite Into Your Reimbursement

If you're relying on your software to digest the Correct Coding Initiative edits , you could be missing out on some big opportunities. Many people check to see what previously billable code combinations are now bundled or mutually exclusive. But they forget to check whether any of those edits have expired or disappeared due to new codes, says George Alex, CPC, managing partner with Iatro in Pasadena, Md. "We get used to using certain 'pet' codes," Alex says. Coders learn what is typically included or not included with a particular procedure, but may end up missing out on reimbursement...

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