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55 Answers Found
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Subject
Category
Does Medicare pay for services performed outside of the United States?
Physicians
Does Medicare pay for services performed in United States Territories?
Physicians
How do I correct information in the Participating Physician Directory?
Physicians
What exactly do my patients see on their Medicare Summary Notices(MSN)/ Explanation of Medicare Benefits (EOMB) when payment for a service i
Physicians
My hospital has physician recruiting contracts
Physicians
What does the physician referral law prohibit?
Physicians
Does Medicare cover testing for influenza?
Physicians
Can physicians or practitioners opt out of Medicare for a particular set of services?
Physicians
Who do I contact if I suspect fraud or abuse with a supplier?
Physicians
What is a "private contract" and what does it mean to a Medicare beneficiary who signs it?
Physicians
What has to be in a private contract and when must it be signed?
Physicians
Why has the language in Medicare Summary Notices for patients been modified to reflect more appropriate phrases but the remittance notices m
Physicians
Will beneficiaries be informed that their physicians are participating in the demonstration?
Physicians
Are dialysis facilities required to limit compensation for medical director services to the amount allowed under the fair market value “safe
Physicians
If I want to determine what codes/procedures are paired with a certain code, how can I find this out?
Physicians
What are CCI edits?
Physicians
How do I obtain the CCI Edits Manual?
Physicians
What is the column 1/column 2 correct coding edit table?
Physicians
Since my practice does not use all the codes in the HCPCS/CPT manuals, can I obtain only the edits that pertain to my specialty?
Physicians
New
- How should modifier -59 be reported under the CCI?
Physicians
What does "column 2" mean in the column 1/column correct coding edits table and in the mutually exclusive edits table?
Physicians
If I receive a denial for a procedure bundled into another service, and I cannot find this code pair in the column 1/column 2 correct coding
Physicians
How are the CCI edits arranged in the manual?
Physicians
Why do the mutually exclusive procedures appear to be in the wrong order, that is, it seems the procedure with the higher payment is general
Physicians
Do I need to obtain each version update of the CCI in order to manage our coding practices effectively and efficiently?
Physicians
There are some software coding programs that already contain the CCI edits. Do I still need to purchase the manual from NTIS?
Physicians
What is the mutually exclusive edit table?
Physicians
New
- If I determine that one of these modifiers is appropriate and should be used to describe the services I am reporting, to which code do I att
Physicians
What does it mean when codes are considered "mutually exclusive" of each other?
Physicians
New
- How should modifier "-25" be reported under the CCI?
Physicians
What exactly does "column 1" mean in the column 1/column 2 correct coding edits table and in the mutually exclusive edits table?
Physicians
How often are the CCI edits updated?
Physicians
Updated
- What are some of the possible denial messages that may be displayed on the beneficiary's EOMB/MSN?
Physicians
New
- What modifiers are allowed with the CCI edits?
Physicians
If each of the procedures listed in a CCI edit is performed by two different physicians in my clinic of different specialties, will both ser
Physicians
New
- In what instances can I use the modifier -59 to designate a separate, different site?
Physicians
New
- What modifiers can be used to distinguish separate patient encounters on the same day?
Physicians
Is there a list of deletions to each version update available or do I have to do a comparison between the previous and the current version u
Physicians
Where can I find information about the principles utilized to develop edits and examples of edits?
Physicians
Why do I have to purchase the CCI edits from NTIS instead of just receiving the information from my Carrier or FI?
Physicians
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