AMA CPT® Assistant - 1996 Issue 7 (July)

Medicare's Correct Coding Initiative (July 1996)

July 1996 pages 1-2 Medicare's Correct Coding Initiative In response to pressure from key members of Congress, and despite significant objections from organized medicine, on January 1, 1996, the Medicare program implemented the first phase of a new "Correct Coding Initiative." The purpose of this initiative is to reduce program expenditures by detecting inappropriate coding on Medicare claims and denying payment for them. The first phase of the project involved putting into place more than 83000 code edits that were estimated to generate denials of up to 4% of claims. The GAO Report Code "edits" are designed to...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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