Updated coding edits take effect July 1
June 26, 2011Quarterly updates to the Medicare Correct Coding Initiative (CCI) edits, Version 17.2, take effect on July 1, 2011.
The U.S. Centers for Medicare & Medicaid Services (CMS) developed the CCI to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment for Medicare Part B claims.
Under the CCI, the CMS compiles lists of billing code combinations that describe duplicative or mutually exclusive services.
Medicare payment contractors use the lists to “edit” claims for improper billing. Health practice billing staff can use the lists to review claims, prior to filing, as a means of preventing unnecessary claim rejections.
For additional information or to access the updated CCI edits, see the CMS Web site National Correct Coding Initiative page (www.cms.gov/NationalCorrectCodInitEd).
