decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 2 (February)
CCI: Adopt new rules for allergy tests and other services to avoid denials
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Article Overview
This article reviews a set of annual National Correct Coding Initiative policy manual updates effective January 1, 2015. It is aimed at coders, billers, and compliance staff who handle allergy testing and immunotherapy, fracture care, psychotherapy, gastrointestinal endoscopy, audiologic testing, and related Medicare coding questions. The piece provides a broad overview of the services touched by the updates and highlights the categories of billing issues addressed in the guidance.
Why This Topic Matters
The article helps readers understand which commonly billed services were addressed in the latest CCI policy update cycle and why claims for those services may be subject to denial review. It is relevant for anyone monitoring Medicare coding policy changes and compliance risk.
Article Sections
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Watch allergy reporting on same date and potency
Covers allergy testing and immunotherapy topics addressed by the updated policy guidance, including same-day reporting considerations and testing workflow issues.
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Use new guidance for multiple closed fractures, psych services
Summarizes policy updates affecting multiple closed fracture treatment and selected psychiatric service reporting scenarios, including psychotherapy-related guidance.
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Follow dos and don’ts for modifier 52
Reviews updated guidance involving reduced-service reporting and audiologic testing, along with related coding considerations for selected procedural services.
What You Will Learn
- Which service categories are affected by the latest CCI policy manual update cycle
- How the article frames reporting issues for allergy testing, immunotherapy, fracture care, psychiatry, endoscopy, and audiology
- What general types of claim denial risk are associated with the updated guidance
- Which Medicare coding policy source the article is discussing
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle professionals
- Practice administrators
- Physician office staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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