Thls ls a graded discussion: 20 points possible due Dec 17 13 33 Unit 8 Medicare National Correct Coding initiative (NCCl) Edits '* M Discussion Board Medicare National Correct Coding Initiative (NCCI) Edits NCCI Procedure to Procedure (FTP) edits were established to preVent improper payment when incorrect code combinations are reported. The NCCl edits consist of two types \"Column 1/Coiumn 2\" edits and "Mutually Exclusive" edits. 1. Column 1/Column 2 Edits: These edits identity code pairs that should not be reported together in the same encounter or on the same claim. Column 1 represents the primary code. and Column 2 represents the secondary code. The purpose of these edits is to prevent double billing or reporting of services that are considered mutually exclusive or redundant. Provrders need to ensure that they do not submit claims for the Column 1 and Column 2 codes unless specic circumstances warrant separate reporting. 2. Mutually Exclusive Edits: These edits identify code pairs that are considered mutually exclusive. meaning that they should not be reported together because they represent different methods or types of the same procedure or service. Mutually exclusive edits are intended to prevent billing for multiple procedures or sewices that cannot reasonably be performed at the same time. Part I. . 1. Go to CMS website link: h_ttp;[waw.cms gov/medicaremedicaid-coordinaonational-correctcoding-initiavenccyncci-medicare a 2. Go to replacement files: Click on h__ttps;www.cms govlmedicare-medicaid~coordination3tionaI-correct~coding~initiative-nccicci-medicare/medicare-ncci-mmmw l3 3. Go to Related Downloads and Review a set of Hospital PTP Edits 4. Open the le and select 5 CPT codes from column 1 5. Compare the CPT codes that are allowed and list them from column 2 6. include a short text description of each code. 7. interpret the reason why these CPT codes are incorrect combinations, Part II. Assess the advantages and disadvantages of NCCI edits for the HIM professional and the revenue cycle (ZED-word essay, list at least three advantages and three disadvantages). Discussion Requirements: - An original post and two responses are required, (Three posts in total ) - The original post must contain information for Part I and an essay for Part ll with 250 words minimum and is due by Thursday. - Reterencets) are required (use APA Format) - Two substantial responses (50-75 words) are required as comments to the post of two other students. Cite any reference used - You must post rst before you can see the posts of your classmates. The topic is to be addressed in essay form using APA style with APA in-text citations and a reference list included. The textbook may be used as a resource, but at least one additional reference must be used. References should be from a .Org. gov. or .edu domain. Proofreading for grammarand punctuation is required. The document is to contain original wording. (lV.1RM>Si
