Asked by: Abdelbaki Viracochabusiness and finance healthcare industry
What are NCCI edits?
Last Updated: 30th April, 2020
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Keeping this in consideration, what are NCCI edits used for?
The purpose of the NCCI Procedure-to-Procedure (PTP) edits is to prevent improper payment when incorrect code combinations are reported. The NCCI contains one table of edits for physicians/practitioners and one table of edits for outpatient hospital services.
Similarly, how many NCCI edits are there? NCCI includes three types of edits: NCCI procedure-to-procedure (PTP) edits, medically unlikely edits (MUEs), and add-on code edits.
Also Know, where can I find the NCCI edits?
The PTP code pair edits, MUE tables, and NCCI manual are accessed through the National Correct Coding Initiative Edits webpage at https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html on the CMS website.
What are NCCI Edits How are NCCI edits used during the claims scrubbing process?
The NCCI edits are to promote correct coding structures and to make sure that coding is done correctly so the payments are not incorrect. There is a set of PTP edits automatically entered into the outpatient code editor.