Long-Term Care

Gain control of CCI edits on Part B therapy claims

Billing Alert for Long-Term Care, July 1, 2008

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More than two years after their January 1, 2006, implementation for Medicare Part B skilled nursing facility (SNF) claims, the National Correct Coding Initiative (CCI) edits remain a thorn in the side of many SNFs, says Cindy Dunne, president of ECS Billing & Consulting, Inc., in Dublin, OH.

“The CCI edits continue to be a common source of line item denials on Part B therapy claims. These line item denials can cost facilities money and often go undetected because a portion of the claim is paid,” Dunne says. (Need a refresher course on how the CCI edits work?)

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