(Announcement posted Announcement updated September 3, 2020) Physicians, hospitals, and other providers must report services correctly and code correctly even in the absence of NCCI or OCE edits. CMS provided a complete list of all Covered Telehealth Services for PHE for the COVID-19 pandemic. Although NCCI files have dates consistent with the first day of each quarter and are therefore dated retroactively to January 1, 2020, payments based on the expansion of telehealth services are for dates of services starting March 6, 2020.
Per CMS’ announcement, effective for services starting March 6, 2020, Medicare will make payment for Medicare telehealth services furnished to patients in broader circumstances. CMS issued replacement files for NCCI PTP PRA, NCCI PTP OPH, NCCI MUE PRA, and NCCI MUE OPH. In accordance with Centers for Medicare & Medicaid Services’ (CMS) expansion of telehealth services, CMS updated procedure-to-procedure (PTP) edits and Medically Unlikely Edits (MUEs) for Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes. Replacement Files (2nd quarter of 2020) – related to the COVID-19 Public Health Emergency:.Updated public replacement files for Medicare are available using the links in the left navigation pane.
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The CMS issued replacement files with the following changes: National Correct Coding Initiative Announcements Replacement Files
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Prior versions of the National Correct Coding Initiative Policy Manual for Medicare Services are in the NCCI Policy Manual Archive (available in the left menu pane). A revised annual version of the National Correct Coding Initiative Policy Manual for Medicare Services (available in the left menu pane) effective January 1, 2021, was posted December 18, 2020.Īdditions/revisions to the manual have been italicized in red font.
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