Healthcare News: CMS releases updated NCCI instruction manual

August 2nd, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a CMS guide that introduces Medicare National Correct Coding Initiative (NCCI) resources and explains the general types of edit information they provide. It is relevant to coders, billing staff, and other healthcare professionals who work with Medicare claims and want a high-level understanding of how to interpret NCCI table information and related guidance.

Why This Topic Matters

NCCI guidance affects how providers review claim edits and understand Medicare coding review tools. Knowing what the updated guide covers can help billing and coding professionals find the right CMS reference before submitting or reviewing claims.

Article Sections

  1. CMS releases updated NCCI instruction manual

    Introduces the new CMS guide and its purpose for healthcare professionals working with Medicare claims. Summarizes the broad types of NCCI information covered in the article.

  2. Background on NCCI edit types

    Provides a general overview of the major categories of NCCI edits discussed in the guide and the provider groups they affect. Explains that the article focuses on how the guide helps readers understand edit relationships and related table information.

  3. Using the NCCI tables and manual

    Describes the guide’s discussion of NCCI table columns, code pair interaction, and where to look for more detailed annual guidance. Covers the role of the manual as a broader CMS reference.

What You Will Learn

  • What the updated CMS NCCI guide is intended to help users understand
  • Which broad NCCI edit categories are discussed in the article
  • How the guide relates to NCCI tables and annual manual updates
  • Who may use the guide when working with Medicare claims

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance staff
  • Healthcare administrators
  • Providers billing Medicare

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