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Understanding Medicare's NCCI

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Understanding Medicare's NCCI

Logic and Interpretation of the Edits



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Understanding Medicare's NCCI by American Medical Association
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Learn the logic behind coding correctly with "Understanding Medicare's NCCI: Logic and Interpretation of the Edits". 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[registered] and HCPCS code sets for reimbursement. This new 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; and, documentation tips - instruct the clinician on the proper level of documentation.
Release date Australia
November 1st, 2009
Country of Publication
United States
Tables, color; Tables, black and white; Line drawings, color; Line drawings, black and white
American Medical Association
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