General Question for the Week of December 21, 2015

General Compliance Question of the Week

Question:

How are Medicare PTP edits and CCI edits different? 

Answer:

They are not different because the current procedure-to-procedure (PTP) edits were originally the National Correct Coding Initiative (NCCI) edits. Now, the NCCI umbrella includes PTP edits plus medically unlikely edits (MUE) and add-on-code edits. 

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.