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In This Issue
Staying in Compliance With National Correct Coding
Initiative Edits In the January 1, 2013, quarterly update of the Medicaid National
Correct Coding Initiative (NCCI) edits, new edits were added that
bundle all evaluation and management (E/M) services with
immunization administration services. If your billing system or
compliance manager did not incorporate these new edits, you probably
experienced some unexpected claim denials. It is important to stay
up-to-date with these edits and integrate them into your coding
compliance program. This can not only save your practice from unnecessary
claim denials but also shows evidence of your intent to stay current
with and follow guidelines for correct coding associated with these
edits.
Documentation Templates: Use With Caution Tips for effective templates so notes are individualized, appropriate space is left, review is clearly evident, and information is correctly captured
Meaningful Use Incentives and Compliance Compliance elements for obtaining and keeping meaningful use incentive payments, including supporting documentation, state Medicaid program guidance, HIPAA compliance, and security risk analysis reviews
You Code It! An 18-year-old male preventive service visit
Q&A Application of fluoride varnish and Depo-Provera contraceptive injections
Transitioning to 10: You Code It! Coding requirement changes relative to a preventive service visit, abnormal finding, and procedure codes
Compliance: Beyond Coding (Online Exclusive) Reviews and updates to the underlying support system in conjunction with a coding compliance program: scheduling, service capture, reconciliation, and payment postings
AAP Pediatric Coding Newsletter™, May 2013 Quiz (Online Exclusive) Quiz for AAPC Continuing Education Units
Note: Given the relative frequency with which code and valuation revisions occur, some AAP Pediatric Coding Newsletter™ Online archived articles may not reflect the most current information available. While we make every effort to update articles or retire those no longer relevant, the volume and frequency of code and valuation revisions may result in some archived material being temporarily out of date.
Because the American Academy of Pediatrics (AAP) is not able to verify the accuracy of the facts relating to a patient encounter, we cannot be held responsible for any coding decisions that you make based on the guidance you receive from the AAP. It is your responsibility to only code for what you do during a patient encounter.
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