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Medical Code Solutions blog

Yet more about LCDs/Articles

Did you know that LCDs/Articles are updated once a week by the CMS? We plan to offer a free notification service to anyone interested in what these changes are.

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The Coding Advisor can automatically write appeal letters for you!

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More About LCD's, part 1.

Article Denials LCD Local Coverage Determinations Medical Necessity National Coverage Determinations NCD

How LCD's are used to determine the medical necessity of a procedure, part 1.

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Is Time Travel Possible?

RAC audit Time Machine

The "Time Machine" feature of the Coding Advisor can help catch auditor's mistakes for claims filed up to 5 years in the past.

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Denials Due to NCCI Edits

Coding Advisor National Correct Coding Initiative NCCI edits Unbundling error

What the heck is an NCCI edit, and why should you care? NCCI stands for "National Correct Coding Initiative," which is a project from the CMS to make medical coding more accurate. Or maybe to confuse medical coders. The point of an NCCI edit is to make sure the claim doesn’t itemize components of a procedure that are all included under one procedure code. Think of it this way: If a surgeon performs an appendectomy, she can't bill for opening the patient up, and also bill for the removal of the appendix, and also bill for closing the patient. That's all included by the...

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