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CCI 15.3 Update: You Can Resubmit Dozens of Previously-Bundled 22526 Claims

Newsflash: CCI 15.3 retroactively deletes hundreds of edit pairs, but institutes over 18,000 new bundles.
If you thought Correct Coding Initiative (CCI) had left no stone unturned in bundling moderate sedation, think again. CCI’s version 15.3, which takes effect Oct. 1, continues the trend, bundling 99148-99150 into most of the other CPT codes, and no modifier […]

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CMS COVERAGE DECISIONS: MACs Can Make Exceptions to LCDs

RACs can make exceptions only to approve claims.
Coders know local coverage decisions are known as Medicare’s “final say. If the LCD makes a statement, you can count on your MAC to never veer from that rule. That’s about to change.
CMS has opened the door to giving MACs some wiggle room in adhering to LCDs. Transmittal 302, issued […]

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