National Correct Coding Initiative Seminars and Webinars - March 2011

In October 2010, DMA began notifying providers through bulletin articles of DMA’s plan to implement the National Correct Coding Initiative (NCCI) on March 31, 2011.
The Patient Protection and Affordable Care Act [(H.R. 3590) Section 65607 (Mandatory State Use of NCCI] requires state Medicaid programs to incorporate NCCI methodologies into their claims processing systems by April 1, 2011. The purpose of the NCCI edits is to prevent improper payments when incorrect code combinations are reported.
The two components of NCCI are procedure-to-procedure edits (CCI) and medically unlikely edits (MUE).
CCI procedure-to-procedure edits are for practitioners, ambulatory surgical centers, and outpatient hospital service (only for drugs, high-tech images, ultrasounds, and labs as they are billed at a CPT/HCPCS code level) that define pairs of HCPCS/CPT codes that should not be reported together.
MUE are units of service edits for practitioners, ambulatory surgical centers, outpatient hospital service (only for drugs, high-tech images, ultrasounds, and labs as they are billed at a CPT/HCPCS code level), and durable medical equipment. This component defines for each HCPCS/CPT code the number of units of service that is unlikely to be correct (e.g., claims for excision of more than one appendix or more than one hysterectomy). For more information on NCCI, refer to DMA’s website at http://www.ncdhhs.gov/dma/provider/ncci.htm.
DMA has scheduled training during the month of March 2011 to educate providers on the National Correct Coding Initiative.
Seminars
Wilmington - March 2
Greensboro - March 8
Greenville - March 15
Raleigh - March 22
Asheville - March 29
Charlotte - March 30
Webinars
Two webinar sessions are offered on each of the following dates. The morning sessions begin at 9:00 a.m. and end at 10:30 a.m. The afternoon sessions begin at 1:30 p.m. and end at 3:00 p.m.
March 03, 2011
March 10, 2011
March 17, 2011
March 24, 2011
March 31, 2011
For detailed information on the training sessions, refer to DMA’s website at http://www.ncdhhs.gov/dma/provider/seminars.htm or contact HP Enterprise Provider Services at 1-800-688-6696, menu option 3.




Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.
To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.