CodingPregunta 30 de 100
The National Correct Coding Initiative (NCCI) edits are used primarily to:
a.Set the fee schedule amounts for each code
b.Determine patient deductibles
c.Prevent improper payment when incorrect code combinations are reported
d.Assign diagnosis codes automatically
Explicación
NCCI edits, maintained by CMS, identify pairs of codes that generally should not be billed together for the same patient on the same day, as well as units-of-service limits. They help promote correct coding and prevent improper payments. A modifier may sometimes override an edit when documentation supports a distinct service.
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