Tag: National Correct Coding Initiative (NCCI)

NCCI Edits and Reading the CMS Fee Schedule

 Author: Seymore Bones  Published Date: October 2, 2023  Leave a Comment on NCCI Edits and Reading the CMS Fee Schedule
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Prevent Improper Code Bundling

 Author: Seymore Bones  Published Date: February 21, 2023  Leave a Comment on Prevent Improper Code Bundling

Physicians can take advantage of a new Medicare tool to sort through service codes that can be bundled together for claims payment – and AVOID improper billing.

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The CMS recently released the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) lookup tool to promote accurate code-bundling and prevent improper payment of Medicare Part B and Medicaid claims when incorrect code combinations are reported.

Available via Texas’ Medicare contractor Novitas Solutions, the tool is further designed to help physicians identify when certain pairs of codes are subject to automated edits.

Click here to check out the Look Up Tool

AND FOR EVEN MORE TOOLS

CLICK ON ANY OF THE BUTTONS BELOW

CMS's qrtly update documenting the prohibited/acceptable code combination pairs.
CMS's qrtly update to PTP edits.
Novitas Solutions webpage to the NCCI initiative.
TMA offers a comprehensive NCCI education sheet and other resources to help you submit claims accurately.
Sorry, today's weather went to my skull. ~Seymore Bones