Dataset Identification:
Resource Abstract:
- description: <p>The CMS National Correct Coding Initiative (NCCI) promotes national correct coding methodologies and
reduces improper coding which may result in inappropriate payments of Medicare Part B claims and Medicaid claims.</p>
<p>NCCI procedure-to-procedure (PTP) edits define pairs of Healthcare Common Procedure Coding System (HCPCS)/Current
Procedural Terminology (CPT) codes that should not be reported together for a variety of reasons. The purpose of the PTP edits
is to prevent improper payments when incorrect code combinations are reported.</p> <p>Practitioner services also
refers to ambulatory surgical centers.<br /> DME refers to provider claims for durable medical equipment.</p>
<p>The CMS National Correct Coding Initiative (NCCI) promotes national correct coding methodologies and reduces improper
coding which may result in inappropriate payments of Medicare Part B claims and Medicaid claims. NCCI procedure-to-procedure
(PTP) edits define pairs of Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes that
should not be reported together for a variety of reasons. The purpose of the PTP edits is to prevent improper payments when
incorrect code combinations are reported. The edits in this dataset are active for the dates indicated within. This file should
NOT be used by state Medicaid programs as their edit file. Current Procedural Terminology (CPT) codes, descriptions and other
data only are copyright 2017 American Medical Association. All rights reserved. CPT is a registered trademark of the American
Medical Association. Applicable FARSDFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion
factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their
use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability
for the data contained or not contained herein.</p> <p>For more information, visit <a href="https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html">https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html</a>.</p>;
abstract: <p>The CMS National Correct Coding Initiative (NCCI) promotes national correct coding methodologies and reduces
improper coding which may result in inappropriate payments of Medicare Part B claims and Medicaid claims.</p> <p>NCCI
procedure-to-procedure (PTP) edits define pairs of Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology
(CPT) codes that should not be reported together for a variety of reasons. The purpose of the PTP edits is to prevent improper
payments when incorrect code combinations are reported.</p> <p>Practitioner services also refers to ambulatory
surgical centers.<br /> DME refers to provider claims for durable medical equipment.</p> <p>The CMS National
Correct Coding Initiative (NCCI) promotes national correct coding methodologies and reduces improper coding which may result
in inappropriate payments of Medicare Part B claims and Medicaid claims. NCCI procedure-to-procedure (PTP) edits define pairs
of Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes that should not be reported
together for a variety of reasons. The purpose of the PTP edits is to prevent improper payments when incorrect code combinations
are reported. The edits in this dataset are active for the dates indicated within. This file should NOT be used by state Medicaid
programs as their edit file. Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2017
American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable
FARSDFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components
are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or
indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained or not contained
herein.</p> <p>For more information, visit <a href="https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html">https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html</a>.</p>
Citation
- Title NCCI Procedure to Procedure Edits (PTP).
-
- creation Date
2018-06-08T21:30:22.713857
Resource language:
Processing environment:
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Metadata data stamp:
2018-08-07T00:07:56Z
Resource Maintenance Information
- maintenance or update frequency:
- notes: This metadata record was generated by an xslt transformation from a dc metadata record; Transform by Stephen M. Richard, based
on a transform by Damian Ulbricht. Run on 2018-08-07T00:07:56Z
Metadata contact
-
pointOfContact
- organisation Name
CINERGI Metadata catalog
-
- Contact information
-
-
- Address
-
- electronic Mail Address cinergi@sdsc.edu
Metadata language
eng
Metadata character set encoding:
utf8
Metadata standard for this record:
ISO 19139 Geographic Information - Metadata - Implementation Specification
standard version:
2007
Metadata record identifier:
urn:dciso:metadataabout:4b751834-affe-44cd-a5ab-bf06032fd079
Metadata record format is ISO19139 XML (MD_Metadata)