The Analysis engine checks all treatment code pairs for inclusion in the NCCI Unbundling edit table...
-Code pairs that are found in the table are flagged for review
-Code pairs that cannot be billed together, even with the use of a modifier, are listed with their dollar value so that you can decide which one to keep on the list
-The user can view a modifier list in cases where a code pair can be billed with the addition of a modifier (in most cases the Column 2 or component code)
The user always has the option to cancel or override validation prompts. |