September 3, 2003
The Centers for Medicare & Medicaid Services (CMS) today made it easier for physicians and other providers to bill properly and be paid promptly for their services to people with Medicare coverage. CMS has posted on its web site the automated edits used to identify questionable claims and adjust payments to reflect what would have been paid if the claim had been filed correctly. The edits, known as the National Correct Coding Initiative (NCCI), identify pairs of services that normally should not be billed by the same physician for the same patient on the same day. The NCCI also promotes uniformity among the contractors that process Medicare claims in interpreting Medicare payment policies.
The NCCI edits will be posted as a spreadsheet that will allow users to sort by procedural code and by effective date. A "Find" feature will allow users to look for a specific code. The edit files are indexed by procedural code ranges for easy navigation. The new Web page also includes links to documents that explain the edits: the NCCI Policy Manual for Part B Medicare Carriers, Medicare Carriers Manual, and the NCCI Question and Answer page. . .