NCCI (National Correct Coding Initiative)
Change request 9970 releases information on the April 2017 code pair tables associated with the national correct coding initiative (NCCI). NCCI procedure-to-procedure (PTP) code pair edits are automated prepayment edits that prevent improper payment when certain codes are submitted together. This summary includes a link to First Coast’s tutorial which will help you reduce the number of claims rejected due to the NCCI edits as well as a link to the full CMS article. [MM9970]
This tutorial will demonstrate how to determine if a code pair will be denied due to NCCI.
CMS developed the Correct Coding Initiative (CCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims.
The Medicare National Correct Coding Initiative (NCCI) was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment. NCCI Procedure-to-Procedure (PTP) code pair edits are automated prepayment edits that prevent improper payment when certain codes are submitted together for Part B-covered services.
This booklet provides educational information on what the National Correct Coding Initiative (NCCI) is and how to use the tools for correct coding.
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