decisionhealth Newsletters, Answer Books - 2009 Issue 9 (September)
Correct Coding Initiative - CCI / National Correct Coding Policy checks your claims
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Article Overview
This article explains the Correct Coding Initiative and the general types of claim edits Medicare carriers use to screen for coding combinations that may not be payable together. It is aimed at coders, billers, and revenue cycle staff who need a high-level understanding of bundled and mutually exclusive services, along with other broad claim-edit categories discussed in the article.
Why This Topic Matters
The topic affects how claims are reviewed and can influence whether services are accepted or denied under Medicare coding edit logic. Understanding the scope of these edits helps coding and billing teams recognize when claims may require closer review before submission.
What You Will Learn
- What the Correct Coding Initiative is and how it relates to Medicare claim edits
- The general categories of coding combinations discussed in the article
- Why certain services may be considered part of a more comprehensive service
- How broad claim-edit concepts relate to compliant billing review
Who Should Read This
- Medical coders
- Medical billers
- Billing compliance staff
- Revenue cycle professionals
- Practice managers
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