How to Use The National Correct Coding Initiative (NCCI) Tools

Are you familiar with the NCCI (National Correct Coding Initiative) and how to tell if your coding is up to par?

The guide, "How to Use The National Correct Coding Initiative (NCCI) Tools" Produced by the Centers for Medicare and Medicaid Services highlights the following topics:

• What is the National Correct Coding Initiative (NCCI)
• Who should use the NCCI Web Page, Tables, and Manual
• How Up-to-Date are the NCCI Tables
• Background: NCCI Edits
• Using The NCCI Tools 
• Looking Up 2 Types of Code Pair Edits  
• How to Use the Code Pair Tables 
• Looking up the 3 Provider-Types of Medically Unlikely Edits (MUEs)
• Using the NCCI Policy Manual For Medicare Services
• Resources page with additional websites
• How to Filter NCCI data tables

To download and view the full guide, please go to the following link: NCCI Tools

Avoid Receiving Improper Payments Before and After Processing Your Claims

Do you know how to avoid receiving improper payments before & after processing your claims?

A how-to guide on Medicare Claim Review Programs was produced by The Centers for Medicare and Medicaid and highlights the following topics:

• Medicare Contractors and Their Responsibilities
• Medicare Prepayment and Postpayment Claim Review Programs
• National Correct Coding Initiatives (NCCI) Edits
• Performed by Affiliated Contractors (ACs) /Medicare Administrative Contractors (MACs)
• Medically Unlikely Edits (MUEs)
• Performed by ACs/MACs
•  FAQs on Medically Unlikely Edits
• AC/MAC MR Program performed by ACs/MACs
• Comprehensive Error Rate Testing (CERT) Program
•  Performed by CERT RC and CERT DC
•  CERT Error Rates
• Recovery Audit Program performed by Medicare FFS Recovery Auditors
• Summary of MR (AC/MAC Medical Review), NCCI Edits, MUEs, CERT, and Recovery Audit Program
• Supplementary website resources with more information on Medicare Claim Review Programs

To download and view the full fact guide, please go to the following link: Medicare Claim Review Program