National
Government Services, Inc.
Medicare Monthly Review Part A and B
Medicare Monthly Review Part A and B
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Combined Part A and Part B Newsletter
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National
Government Services, Inc. Medicare Monthly Review Part A and B |
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A
Combined Part A and Part B Newsletter |
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MLN Matters. . .Information for Medicare Providers |
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.3, Effective October 1, 2007
MLN Matters Number: MM5703
Related Change Request (CR) #: 5703
Related CR Release Date: August 31, 2007
Effective Date: October 1, 2007
Related CR Transmittal #: R1330CP
Implementation Date: October 1, 2007
Provider Types Affected
Physicians who submit claims to Medicare carriers and Part A/B Medicare Administrative Contractors (A/B MAC)
Background
This article is based on Change Request (CR) 5703 which provides a reminder for physicians to take note of the quarterly updates to Correct Coding Initiative (CCI) edits. The latest package of CCI edits, Version 13.3, effective October 1, 2007, and the current Mutually Exclusive Code (MEC) edits will be available at http://www.cms.hhs.gov/NationalCorrectCodInitEd/ 
on the Centers for Medicare & Medicaid Services (CMS) Web site.
The National Correct Coding Initiative developed by CMS helps promote national correct coding methodologies and controls improper coding. The coding policies developed are based on coding conventions defined in:
The latest package of CCI edits, Version 13.3, includes all previous versions and updates from January 1, 1996, to the present and will be organized in two tables:
Additional Information
The CCI and MEC file formats will be maintained in the Medicare Claims Processing Manual (Chapter 23, Section 20.9) which can be found at http://www.cms.hhs.gov/Manuals/IOM/list.asp#TopOfPage on the CMS Web site.
The official instruction, CR 5703, issued to your carrier and A/B MAC regarding this change may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R1330CP.pdf 
on the CMS Web site.
If you have any questions, please contact your Medicare carrier or A/B MAC at their toll-free number, which may be found on the CMS Web site at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip 
on the CMS Web site.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.