Understanding Medicare's NCCI: Logic and Interpretation of the Edits
American Medical Association
American Medical Association / AMA
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Learn the logic behind coding correctly with Understanding Medicare's NCCI: Logic and Interpretation of the Edits.
Recommended by the AMA, this is the only resource that provides a better understanding of Medicare's National Correct Coding Initiative (NCCI) edits, this book is a helpful guide to those who use the CPT and HCPCS code sets for reimbursement.
This title builds understanding by walking coders, providers and payers through the logic behind the NCCI coding system and teaches coders how to make the correct determination regarding bundling vs. billing separately for edited services. Expanding on Medicare's basic guidelines, this book features:
Explanations of the logic behind NCCI codes - save time by teaching you how to make quick coding decisions
Chapters organized by CPT code section - offer specific guidelines from Centers for Medicare & Medicaid Services and give strategies to analyze and interpret those guidelines so coders can determine whether to bypass an edit
Modifier application explanations - detail appropriate modifiers, such as modifier 25 and 59, in order to decrease confusion about the modifiers that may be used to bypass edits
Real-life case examples - highlight coders' common questions and offer suggestions to help ensure appropriate payments are received without coding errors
Easy-to-use check boxes - make it easy to determine the most important points of each section
Documentation tips - instruct the clinician on the proper level of documentation
Please also remember that the government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.
(information provided by the publisher)
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