Tip: Understand NCCI edits
APCs Weekly Monitor, March 26, 2010
Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor!
CMS introduced NCCI edits for outpatient therapy in 1996 to prevent improper payment when incorrect code combinations are reported. These edits apply to code combinations in which one of the codes may be a component of a more comprehensive code or when a code is mutually exclusive of another code in the pair. CMS updates the edits quarterly.
Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor!
Related Products
-
Modifier -59 Case Studies: Clarify Common Coding Confusion
Modifier -59 is a perennial problem area for outpatient coders. It shouldn’t be viewed as a way to guarantee payment but...
-
Outpatient Bed Charge Capture: Billing for Common and Complex Cases
During this 90-minute audio conference, our expert speakers walk you through common and complex cases and explain compliant...
-
Billing No-Cost and Low-Cost Devices: Tips to Avoid the Audit Fast Track
During this 90-minute audio conference, our speakers will use a case study to demonstrate best practices to help you comply...
-
Spinal ICD-9 and CPT Coding
During this two-hour audio conference, our speakers will discuss common coding errors for spinal diagnoses and procedures...
-
Medically Unlikely Edits: Compliance and Denials Management
During this 90-minute audio conference, our speakers give you processes and best practices to combat MUE denials. They...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- HIPAA Q&A: Level of encryption needed for email
- QA:Coding multiple initial infusions
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- CMS has reformulated payments for some bilateral procedures
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- What does case-mix index mean to you?
- Hospitals are not bound by InterQual criteria for determining patient status
- ED-to-inpatient transfers are flawed with safety gaps
- Searched