Why NCCI exists
NCCI procedure-to-procedure edits stop billing of code pairs that should not be reported together.
Billers who understand the edit intent educate providers better than those who only force claims through.
Modifiers with integrity
Some edits allow modifiers when services are distinct. Documentation must prove it.
Never “modifier away” an edit without a clinical rationale in the note.
Keep files current
Update claim scrubbers when CMS releases quarterly NCCI files so yesterday’s pass is not today’s rejection.
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