BC Advantage - 2009 Issue 5
Medicare Advantage Part 2
Correct Coding Initiative The "correct coding initiative" (CCI) is the name of the payment edits used by Medicare for physician, lab, and some other services. In addition, some of the CCI edits are incorporated into Medicare's "outpatient code editor" (OCE) which is used to pay outpatient hospital bills. More information on CCI can be found on: https://www.cms.hhs.gov/NationalCorrectCodInitEd/. In the left column of that Internet page are hyperlinks to some of the CCI categories such as "medically unlikely edits".Plans that are required to pay out of network providers using the same rates and rules of Medicare...
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