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  2. National Correct Coding Initiative - Wikipedia

    en.wikipedia.org/wiki/National_Correct_Coding...

    The National Correct Coding Initiative (NCCI) is a Centers for Medicare & Medicaid Services (CMS) program designed to prevent improper payment of procedures that should not be submitted together. There are two categories of edits:

  3. Medically Unlikely Edit - Wikipedia

    en.wikipedia.org/wiki/Medically_Unlikely_Edit

    MUE are designed to limit fraud and/or coding errors. They represent an upper limit that unquestionably requires further documentation to support. The ideal MUE is the maximum unit of service for a code on the majority of medical claims. [1] MUE is part of the National Correct Coding Initiative (NCCI) to address coding methodologies. The NCCI ...

  4. NCCI - Wikipedia

    en.wikipedia.org/wiki/NCCI

    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

  5. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4] Communication and Care Coordination; Community/Population Health; Effective Clinical Care; Efficiency and Cost Reduction; Patient Safety

  6. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    RBRVS was created at Harvard University in their national RBRVS study from December 1985 and published in JAMA on September 29, 1988. [6] William Hsiao was the principal investigator who organized a multi-disciplinary team of researchers, which included statisticians, physicians, economists and measurement specialists, to develop the RBRVS.

  7. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    Such coding is necessary for Medicare, Medicaid, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner. Initially, use of the codes was voluntary, but with the implementation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) use of the HCPCS for ...

  8. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    A national coverage determination (NCD) [1] is a United States nationwide determination of whether Medicare will pay for an item or service. [2] It is a form of utilization management and forms a medical guideline on treatment.

  9. Bar code medication administration - Wikipedia

    en.wikipedia.org/wiki/Bar_Code_Medication...

    One type of bar code used on medication packaging. Bar code medication administration (BCMA) is a barcode system designed by Glenna Sue Kinnick to prevent medication errors in healthcare settings and to improve the quality and safety of medication administration.