National Correct Coding Initiative Edit Essay Example | Topics and Well Written Essays - 750 words

National Correct Coding Initiative Edit - try out ExampleThe NCCI Coding constitution manual(a) for the Medicare Services is usually up examined annually by the CMS. This Coding Policy Manual should therefore be used as a general reference tool, which explains the principle for the NCCI edits, by the FIs and the carriers (National Correct Coding Initiative Edits, n.d.).There are two types of NCCI Edits, which include agency-to-procedure (PTP), and Medically unlikely Edits (MUE). The PTP edits defines HCPCS/CPT write in write in codes which should not be reported together for various reasons, while MUE defines the maximum units of service which a supplier would report on the circumstances of the same beneficiary on a single service date for each HCPCS/CPT codeThe NCCI edits is aimed at preventing inappropriate or improper payments after reporting of incorrect code combination. It contains two tables of edits, one for the outpatient hospital services and another for the physic ians/practitioners. The Correct Coding Edits table for Column 1 Column 2 has been combined into one table with the Mutually Exclusive Edits table and they include the code pairs, which should not be reported together for several reasons, which are explained in the Coding Policy Manual (National Correct Coding Initiative Edits, n.d.). A Correspondence Language Manual has also been do available. It was written and is maintained for the Medical Contractors utilization in answering routine correspondence enquiries on the MUE edits and NCCI procedure-to-procedure. The rationale for the edits are explained in the paragraphs for the general correspondence language (The National Correct Coding Initiative in Medicaid Medicaid.gov., n.d.).These guidelines consist of HCPCS or CPT procedure code-pairs, which must not be reported together. It also consists of MUEs, which determine if the procedure codes are submitted in,