Medical Claims Edits

Medical Coding .Net brings you the latest medical billing claims edits. These edits are effective from October 1, 2006 through September 30, 2007.

Item		ASCII Files LICENSE AGREEMENT			Single User Price

MN-F7	Medical Necessity CPT®/HCPCS to ICD-9 Crosswalk Millions of code pairs covering nearly 7000 services!				$799
MNC-F	Customized Medical Necessity Crosswalk for individual Medicare Contractors Get a customized crosswalk for each Medicare Carrier and Fiscal Intermediary with ongoing updates.				CALL
NMLE-F	Medicare National Laboratory Coverage Decision Data File Medicare reimbursement rules containing the national laboratory edits that supersede local coverage decisions.				$299
MCE1-F	ICD-9 Diagnosis Edits Sex conflict Not applicable principal dx Manifestation as principal dx			Questionable admission Unacceptable principal dx Secondary dx required	$199

MCE3-F			ICD-9 Procedure Edits Sex conflict Non-specific OR procedure Open biopsy check	Non-covered procedure Bilateral procedure	$199

Item	ASCII Files LICENSE AGREEMENT		Single User Price

CCIAS-F	CCI all edits Correct Coding Initiative bundling/unbundling procedure rules. Annual quarterly subscription.		$499
CCISV-F	CCI all edits Correct Coding Initiative bundling/unbundling procedure rules. Current quarter.		$149
MN-F7	Medical Necessity HCPCS/CPT® to ICD-9 Crosswalk Millions of code pairs covering nearly 7000 services!		$799
MBC-F7	Medicare Billing Compliance File Identify how Medicare pays for procedures and whether they are affected by gender restrictions, medical necessity, or Correct Coding Initiative billing rules.		$179
OCED-F6	ICD-9 Diagnosis edits Female Male Adult (15+ y)	Pediatric (0-17y) Newborn (0 y) Maternity (12-55y)	$199

Item	ASCII Files LICENSE AGREEMENT	Single User Price

UBR-F	Revenue codes and descriptions	$199
UBD-F	All other UB-04 form locator data elements and valid values (Excel spreadsheet)	$799
CS-F	Claims status: adjustment reason and status codes	$99
MRRP-F	Claim and line-level remittance remarks	$99
FCEP-F	Full claims package UB-04 package and claims status codes package	$999