Question

The national correct coding initiative (NCCI or CCI) was implemented in 1996 to:

A) Simplify the coding of medical procedures
B) Promote the use of ICD-10 codes
C) Prevent improper code bundling
D) Regulate the use of modifiers

Answer 1

The NCCI was implemented to prevent improper code bundling, ensuring accurate and fair medical billing practices by using ICD codes for medical procedures.

Step-by-step explanation:

The National Correct Coding Initiative (NCCI or CCI) was implemented in 1996 to prevent improper code bundling. Its primary aim is to ensure that the correct codes are used during medical billing, thus preventing overuse or misuse of related procedure codes. When a patient receives treatment, medical coders use the ICD codes to assign accurate codes to procedures performed. Then, medical billers process these codes to claim reimbursement from insurance companies. The NCCI checks that each code is appropriate and that billing is done correctly, without unnecessary bundling of codes that should not be combined. This helps maintain a standardized and fair billing practice within the healthcare system.