AHA Coding Clinic® for HCPCS - 2008 Issue 4; FOR your INFORMATION

New institutional NCCI edits to be applied to Medicare claims

Effective 1/1/09 the following categories of services: anesthesiology, evaluation and management (E/M), and mental health services, will no longer be excluded from the National Correct Coding Initiative (NCCI) edits via the Outpatient Code Editor (OCE). Accordingly, there will be a large number of new institutional edits applied to claims. Formerly, the Outpatient Code Editor (OCE) was not applied to the National Correct Coding Initiative (NCCI) edits for these services. The NCCI edits are updated quarterly and the institutional version is one calendar quarter behind the physician version. The new institutional NCCI edits will be available as of 1/1/09 on...

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