decisionhealth Newsletters, Part B News - 2015 Issue 7 (July)
Understand the difference between CCI edit, medically unlikely edit
Subscribe or sign in to view the full article.
Article Overview
This brief Q&A article is aimed at medical coders and billing professionals who want a high-level understanding of Medicare coding edits. It compares a National Correct Coding Initiative edit with a medically unlikely edit and discusses the general context in which these edit types affect claim review.
Why This Topic Matters
Knowing the distinction between these Medicare edit types helps readers understand why certain claims may be subject to denial or review and how edit logic is generally organized.
What You Will Learn
- The general difference between two Medicare claim-edit concepts
- How these edit types relate to same-day services and claim review
- The role of a modifier in the context of edit bypassing at a high level
- Which professionals may need to understand these edits
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance personnel
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com