Medicare Compliance & Reimbursement - 2012 Issue 7
CCI 18.2 Update: NCCI Version 18.2 is Effective On July 1, 2012, Are You Ready To Correctly Handle these Edits?
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Article Overview
This premium article explains a July 2012 update to NCCI version 18.2 and focuses on the types of edits that affect facility claims, especially in emergency department and neurosurgical settings. It is intended for coding and billing professionals who need a broad understanding of what changed, which service categories are involved, and how the update is organized across multiple edit groups. The article also covers the general role of NCCI-associated modifiers and the timing of additional edits scheduled later in 2012.
Why This Topic Matters
NCCI updates can change how services are reported and bundled on Medicare and Medicaid claims. Understanding the scope of the version 18.2 changes helps coding staff anticipate facility-specific impacts and review claims for affected service categories.
Article Sections
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Scope out these new CCI edits for fluoroscopy use and heparin lock procedures
Introduces the update at a high level and frames the facility-focused topics discussed in the article.
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Overview
Summarizes the NCCI 18.2 update, its effective date, and the broad claim types and payer programs affected.
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Group I
Describes one set of practice-expense-related edits and the broad categories of procedures and supplies involved.
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Group II
Covers a larger set of mostly neurosurgical edits and their relationship to selected procedure groupings.
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Group III
Notes a separate set of edits scheduled for later implementation and identifies the general service category involved.
What You Will Learn
- How the July 2012 NCCI 18.2 update is organized
- Which broad service categories are affected by the edits
- How the article frames facility and emergency department relevance
- How NCCI-associated modifier indicators are discussed at a general level
- What timing differences are noted for the grouped edits
Who Should Read This
- Medical coders
- Hospital billing staff
- Compliance professionals
- Facility revenue cycle staff
- Neurosurgery coding specialists
Codes Discussed
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