CMS Owns the NCCI Program According to CMS; "The Centers for Medicare & Medicaid Services (CMS) owns the NCCI program and is responsible for all decisions regarding its contents. CMS developed the CCI edits based on coding conventions defined in the American Medical Association's CPT Manual, na...
Medicine, including coding and billing, is a constantly changing field full of challenges and learning and she loves both. Aimee believes there are talented medical professionals who, with proper training and excellent information, can continue to practice the art of healing while feeling secure in ...
Therefore, when coding, it is imperative that the only codes that are contained in a claim are codes that have evidence for usage in the medical record. It is never acceptable to infer or assume that a procedure has been done or a diagnosis made. Billing accuracy often increases when EMR ...
The article presents the coding cues related to the three modifiers associated with advance beneficiary notice (ABN) in the U.S. It states that the Centers for Medicare and Medicade Services (CMS) recognizes when an advance beneficiary notice is involved, including the GA, GY and GZ modifiers...