This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Alert me to new issues of the journal Download to citation manager

Medicare Coding Edits New and Old

When claims are processed by Medicare carriers, fiscal intermediaries, or Part A/Part B Medicare Administrative Contractors, they are compared against computerized coding edits. These edits include the National Correct Coding Initiative Edits (NCCI), commonly referred to as CCI edits. Other coding edits have been recently developed by the Centers for Medicare & Medicaid Service (CMS) that are known as Medically Unlikely Edits (MUEs). The questions and answers in this article are designed to provide additional information and clarification regarding the NCCI and MUE edits.

	Why did CMS develop NCCI Edits?

 
The NCCI edits were developed by the agency in an effort to establish a uniform coding . . . [Click for More]