tci Medicare Compliance & Reimbursement - 2007 Issue 13

CODING: A Modifier Won't Help You To Override Dozens Of Edits Anymore

Start resubmitting denied cystourethroscopy, craniotomy claims.Heads up: The Correct Coding Initiative (CCI) has unveiled its latest set of edits. Version 13.1 takes effect April 1, and it includes 1,692 new edits.CCI version 13.1 also:· deletes 299 edit pairs, and 212 of those deletions were retroactive to the start of the year, according to Frank Cohen with MIT Solutions Inc. in Clearwater, FL. That means if you received denials for any of these code pairs since Jan. 1, you can resubmit those claims and get paid.You can resubmit any denied claims for cystourethroscopy code...

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