FAQ: Why Does TCI SuperCoder Have Separate CCI Tools for Medicare and Medicaid?
TCI SuperCoder packages that include Correct Coding Initiative (CCI) procedure-to-procedure (PTP) edits provide tools for both Medicare edits and Medicaid edits. That is because each data set (list of CCI edits) is distinct. There is a lot of overlap between the Medicare and Medicaid edits, but assuming they are identical could lead to incorrect coding and payment. For Medicaid claims, you need to check Medicaid edits. For Medicare claims, you need to check Medicare edits.
In packages like Fast Coder, Physician Coder, Multispecialty Coder, and Facility Coder, check practitioner CCI PTP edits using these features (MCR is Medicare and MCD is Medicaid):
Tip: Outpatient Facility Coder users also have access to outpatient Medicare and Medicaid CCI edit tools included in their coding package.