BUNDLING: 3 Code Pairs You May Not Want To Report Together
Here's expert advice on reporting your code combinations correctly.
The Correct Coding Initiative (CCI) offers guidance on which codes you shouldn't bill to Medicare together, and which you can report together with modifiers.
But there are exceptions to every rule, and Medicare wants to make sure your coding doesn't fit one of these potential exceptions.
Medicare carriers routinely review claims to determine whether your physician reported codes together properly -- meaning that you should only report the most accurate codes, and you shouldn't bill "extra" codes just because CCI allows it.
Here are examples of common "unbundling" scenarios...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: