decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / B-01-09
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Article Overview
This program memorandum from HCFA explains a revision to Correct Coding Initiative edit files and the temporary suspension of selected edits involving evaluation and management services and ophthalmologic general services. It is relevant to medical coders, billing staff, compliance teams, and carriers who track CCI edit updates, implementation dates, and file revisions. The article provides administrative guidance about the affected edit categories, related file names, and timing of the change.
Why This Topic Matters
It helps readers understand a HCFA update that changed the status of specific CCI edits, which is important for maintaining accurate claims processing and compliance workflows.
Article Sections
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Program Memorandum and Change Request Information
Administrative header information identifying the issuing agency, transmittal, date, and change request context.
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Subject and Scope of the Edit Suspension
A summary of the CCI revision and the broad categories of edits affected by the memorandum.
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File Names and Version Update Details
Reference information for the revised files associated with the update for regions and carriers.
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Implementation, Effective Dates, and Administrative Notes
Timing information for the memorandum, along with operational guidance about claim handling and follow-up education.
What You Will Learn
- How the memorandum frames a CCI edit suspension update
- Which broad service categories were affected by the revision
- What administrative timing information is included in the notice
- How the update is positioned for carriers and claims processing teams
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Claims processing personnel
- Carriers
Code Ranges Discussed
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