Download Reference Documents The following resource is the instructional manual for interpretation of the code edit resources on CMS website. Do not overlook the need to locate similar resources on the payer provider portals. How to Use the Medicare National Correct Coding Initiative (NCCI) Tools

This quick tutorial provides an overview of what coding edits are and how a clinic can locate them online. We also take a peek at how payers adopt these edits and publish them in the reimbursement policies. There is no way to instruct a team member on everything there is to know about code edits…

What are Coding Edits? It all started with the Centers for Medicare & Medicaid Services (CMS). In an effort to prevent overpayments, control improper coding and promote national correct coding methodologies, CMS developed the National Correct Coding Initiative (NCCI) edits. It was a way to get everyone on the same page, streamline claim processing and…

This quick tutorial provides an overview of ASO plans and what every clinic should know about claims management with these unique plans. As healthcare cost rise and state insurance regulations become more restrictive, these types of plans may become more common among your patients. Take time to train your front desk and billing staff on…

Three Important Letters ASO stands for Administrative Services Only. If you see these three letters on an insurance card that means the patient’s employer has contracted with that insurance carrier to administer the benefits. The plan is technically self-funded meaning the employer is the plan sponsor. Although the claims are processed externally, the employer bears…

Download Support Tool Training Script – Convert Established Patients