Pediatric Coding Alert

Know where to find Correct Coding Initiative edits to ensure you're coding properly. If you've always felt like the terms "CCI," and "Correct Coding Initiative" didn't apply to your practice because you don't deal with Medicare patients, that time has unfortunately passed. State Medicaid payers will now be denying claims based on CCI edits, and you need to know how to continue to collect your due despite these hurdles. Because some private insurers follow Medicare's lead regarding claims processing, some of your contracted payers may already be using CCI edits to "bundle" or deny claims for services you rendered. However, if you've never encountered these edits before, it's time to find out the basics to avoid facing unnecessary Medicaid denials. Here's why: As part of the Affordable Care Act, which President Obama signed into law last March, state Medicaid programs were told to begin using CCI edits when processing claims [...]