Final answer:
The two NCCI edits are the Column One/Column Two Correct Coding Edit, which involves a pair of codes with one representing a comprehensive service and the other a component of it, and Mutually Exclusive Edit, which prevents payment for procedures that cannot be reasonably performed together. These are used to prevent improper Medicare Part B payments.
Step-by-step explanation:
The two National Correct Coding Initiative (NCCI) edits are procedural coding edits designed to prevent improper payment when incorrect code combinations are submitted on Medicare Part B claims.
- Column One/Column Two Correct Coding Edit: This type of NCCI edit involves a pair of codes in which one code represents a comprehensive service and the other code represents a component of the comprehensive service. When billed together, Medicare will pay only for the comprehensive code.
- Mutually Exclusive Edit: These edits prevent payment for two procedures that due to their nature cannot reasonably be performed together. An example might include a procedure to remove an organ that has previously been removed.
Understanding these edits is crucial for proper billing and avoiding claim rejections when providing medical services billable to Medicare.