Claims system updates for 2019: Professional

As a reminder, our claim editing software will be updated monthly throughout 2019 with the most common updates occurring quarterly in February, May, August and November of 2019. These updates will:

 

• Reflect the addition of new, and revised codes (e.g. CPT, HCPCS, ICD-10, modifiers) and their associated edits
• Include updates to National Correct Coding Initiative (NCCI) edits
• Include updates to incidental, mutually exclusive, and unbundled (rebundle) edits
• Include assistant surgeon eligibility in accordance with the policy
• Include edits associated with reimbursement policies including, but not limited to, frequency edits, bundled services and global surgery preoperative and post-operative periods assigned by The Centers for Medicare & Medicaid Services (CMS)