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Mutually Exclusive Code Pairs (MEC): these code pairs should not be reported together because they are mutually exclusive of each other. NCCI code pairs must match on member, provider, and date of service. CMS maintains tables of code pair edits and updates these tables on a quarterly basis.
The National Council on Compensation Insurance (NCCI) is a U.S. insurance rating and data collection bureau specializing in workers' compensation. Operating with a not-for-profit philosophy and owned by its member insurers, NCCI annually collects data covering more than four million workers compensation claims and two million policies. The ...
NCCI may refer to: National Council on Compensation Insurance; National Correct Coding Initiative; National Council of Churches in India; Non-Contradictory Complementary Information, guidance for structural design to complement the Eurocodes
Although all states use similar methodology, there can be differences in details in the formulas used by independent rating bureaus and the NCCI. In many NCCI states, the Experience Rating Adjustment plan is in place, allowing for the 70% reduction in the reportable amount of medical-only claims.
HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
Workers' compensation or workers' comp is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her employer for the tort of negligence. The trade-off between assured, limited coverage and lack of ...
Innovative at the time, the DOT included information still used today in settling EEO and Workers Comp claims, like the physical abilities required to perform that occupation, and the time and repetitiveness of those physical actions (i.e. standing, sitting, lifting 20 pounds or more, seeing at a distance, near vision, hearing quiet sounds ...
Description MS-DRG [1] [2] 0 Pre-MDC 001 - 017 1 Diseases and Disorders of the Nervous System 020 - 103 2 Diseases and Disorders of the Eye 113 - 125 3 Diseases and Disorders of the Ear, Nose, Mouth And Throat 129 - 159 4 Diseases and Disorders of the Respiratory System 163 - 208 5 Diseases and Disorders of the Circulatory System 215 - 316 6