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Longtime watchers of Medicare’s Correct Coding Initiative (CCI) were shocked to see a note recently on the CMS website that Medicare’s long-time CCI contractor, Carmel, Ind.-based Correct Coding Solutions LLC, is taking itself out of the claims-processing software business after 23 years.

A description that is short but not too simple is the challenge posed by claims with unlisted or not otherwise classified codes.

Providers operating within the jurisdiction of National Government Services (NGS) should take stock of their recent chronic care management (CCM) claims. You may be seeing errant denials on good claims.
Double-check box 21 of CMS-1500.
If you've been unduly denied for screening mammography claims in the first few months of 2018, a technical glitch may have been the cause of your trouble, according to an April 13 update from CMS.


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