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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