tci Part B Insider - 2013 Issue 30

Part B Payment: 2 Historically Bad CCI Edits Will Soon Be History, CMS Says

Plus: Recoupments over incarcerated patients flummoxes practices nationwide. If ophthalmological evaluations are a big part of your practice’s revenue, you’ve probably been experiencing a level of stress beyond frustration thanks to CCI 19.2, which bundled 92012 and 92014 into scores of procedure codes. Fortunately, however, you will be able to recoup the money you lost from those troublesome CCI edits in October. That’s the word from an Aug. 27 CMS Open Door Forum, in which CMS’s Chris Ritter acknowledged that edits bundling 92012 (Ophthalmological services: medical examination and evaluation, with initiation or continuation of...

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