In the January 1, 2013, quarterly update of the Medicaid National Correct Coding Initiative (NCCI) edits, new edits were added that bundle all evaluation and management (E/M) services with immunization administration services. If your billing system or compliance manager did not incorporate these new edits, you probably experienced some unexpected claim denials. It is important to stay up-to-date with these edits and integrate them into your coding compliance program. This can not only save your practice from unnecessary claim denials but also shows evidence of your intent to stay current with and follow guidelines for correct coding associated with these edits.

Whether you rely on a software program such as a claims scrubber, billing and coding staff, or your own coding knowledge, it is important to keep current with changes to code edits and the Medicaid NCCI policy manual. Code edits are updated 4 times per year, with updated versions...

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