tci Medicare Compliance & Reimbursement - 2009 Issue 19
CORRECT CODING INITIATIVE: Resubmit Previously-Bundled Claims
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Article Overview
This article reviews a Correct Coding Initiative release and summarizes broad changes affecting bundled claims, modifier indicator status, and deleted edit pairs. It is intended for coding professionals who need to understand which categories of edits changed and why previously denied claims may be relevant for reconsideration.
Why This Topic Matters
CCI updates can affect whether claims are bundled, whether modifiers may be applicable, and whether prior denials might be eligible for resubmission. Understanding the scope of the release helps coders and billers identify claims that may be impacted.
Article Sections
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Release overview
Introduces the CCI release, its effective date, and the general scope of changes discussed in the article.
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Modifier indicator changes
Summarizes changes to modifier indicators across a large number of edit pairs and the impact on bundled claim reporting.
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Deleted edit pairs and resubmission
Covers edit pairs removed from the update, including retroactive deletions and the implications for previously denied claims.
What You Will Learn
- What the article says about the scope of CCI changes in the release
- How the article characterizes changes to bundling and modifier indicators
- What categories of deleted edit pairs are discussed for possible claim resubmission
- Which types of claims the article suggests may be affected by retroactive edit deletions
Who Should Read This
- Medical coders
- Billers and billing specialists
- Revenue cycle staff
- Compliance staff
- Coding auditors
Codes Discussed
Code Ranges Discussed
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