Difference between revisions of "CCI"

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CPT and CMS guidelines.   
 
CPT and CMS guidelines.   
 
The National Correct Coding Initiative helps identify codes that should not be billed together by physicians performing the services on the same day.  There are two type of edits that the NCCI includes: Comprehensive Component Edits and Mutually Exclusive Edits.  There is also National Correct Coding Manual that is published on a quarterly basis containing all current data.
 
The National Correct Coding Initiative helps identify codes that should not be billed together by physicians performing the services on the same day.  There are two type of edits that the NCCI includes: Comprehensive Component Edits and Mutually Exclusive Edits.  There is also National Correct Coding Manual that is published on a quarterly basis containing all current data.
 
Edits may include any of the following:
 
 
* 25 modifier edits
 
* Correct Coding Initiative (NCCI) edits
 
* Charge is sex or age inappropriate
 
* Diagnosis is sex or age inappropriate
 
* Free Text Diagnosis Entered
 
* No Linked Diagnosis
 
* Missing Special Billing Information
 
* Missing Charge Amount
 
* No Referring Provider
 
* Missing Start and End Time
 
* Missing Denial Information
 
* Missing Compliance Code
 
* Frequency Limitation
 
* CPT Code Never Covered
 
* Diagnosis Never Covered
 

Revision as of 19:11, 31 August 2010

The Centers for Medicare & Medicaid Services implemented the Correct Coding Initiative on Jan. 1, 1996. The purpose of correct coding is to ensure claims are processed accurately following CPT and CMS guidelines. The National Correct Coding Initiative helps identify codes that should not be billed together by physicians performing the services on the same day. There are two type of edits that the NCCI includes: Comprehensive Component Edits and Mutually Exclusive Edits. There is also National Correct Coding Manual that is published on a quarterly basis containing all current data.