Using a CCI editor will let you know when one code is a component of another code and should not be billed together for the same beneficiary on the same day. CMS Owns the NCCI Program According to CMS; "The Centers for Medicare & Medicaid Services (CMS) owns the NCCI program and is...
HCPCS codes are developed by CMS (Centers for Medicare and Medicaid Services). Commonly called ‘hick-picks,” they comprise a letter followed by 4 digits. Although CPT codes are primarily used with Medicare, Medicaid, and other private payors, there are instances where the HCPCS code is prefer...
The pass-through provision was implemented to provide Medicare patients with access to novel therapies and to encourage their incorporation into clinical practice by countering financial disincentives for their use. Because CMS payment rates are based on claims that predate newly introduced ...
HCPCS Codes to Identify Screening and Preventive Services Notes: The source for “Other Preventive Visits” codes was the AMA CPT 2016 Manual. Primary source for vaccinations was the CDC Immunization Information Systems (IIS): (https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp), access...