Medical Billing Forum

Billing => Billing => : MBP October 15, 2009, 05:57:34 PM

: NCCI edits
: MBP October 15, 2009, 05:57:34 PM

my question may be a little stupid, but here it comes.. i've been checking NCCI table on medicare website for bundled codes, but some insurance carriers pay for these cpt separately. is there a ncci table for every insurance carrier?  ???

: Re: NCCI edits
: Michele October 16, 2009, 12:17:57 AM

Not all insurance carriers post that information.  Our local bcbs has a tool on their website that allows us to see how a claim will be processed prior to submitting it, but most don't.  It would be nice if they did!

Michele

: Re: NCCI edits
: PMRNC October 16, 2009, 12:09:30 PM

Huh.. and make things easy?? are you kidding...why would they make it easy for us?? LOL

: Re: NCCI edits
: Priyan October 19, 2009, 05:20:09 AM

Yes, other than Insurance companies Humana, Cigna, UnitedHC, Aetna they donot have a set guidelines for CCI edits.

In www.CMS.HHS.GOV we have NCCI where in this will not be sucessfull for all the insurance companies.

Additionally if insurance company you work on is Medicare HMO they will definetly follow Medicare CCI

Priyan.D