Tuesday, September 22, 2015

CMS Issues Quarterly update to Medicare Part B CCI Edits

Dan Ciolek
The Centers of Medicare and Medicaid Services (CMS) recently issued a Medicare Learning Network (MLN) article MM9326 – Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.0, Effective January 1, 2016.

CMS developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment of Part B services (including therapy services). Billers should review the CCI edit code update prior to the January, 1, 2016 implementation. A useful CMS guide How to Use the Medicare National Correct Coding Initiative (NCCI) Tools is also useful for billers not familiar with the Part B CCI edit policy.  

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