BC Advantage - 2006 Issue 11

Inclusive Denials

As a provider, medical coder, and medical biller, we are required to be in compliance with laws, rules and regulations when we provide medical care. We then convert that care to CPT, ICD-9-CM and HCPCS Codes, submit those codes for payment of the patient's health benefit.  To stay in compliance we are required to read the CPT manual descriptors of the codes we need to select and we review the Centers for Medicare and Medicaid Services' (CMS) Correct Coding Initiative (CCI) edits to ensure that when we have multiple codes, we are not selecting codes that are identified...

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