What could a coder risk by ignoring NCCI edits?

Ignoring NCCI (National Correct Coding Initiative) edits could lead to claims denials and potential legal issues because NCCI edits are designed to prevent improper billing for procedures that should not be reported together. These edits help ensure that services provided are medically necessary and appropriately billed. If a coder fails to adhere to these guidelines, they may submit claims that do not comply with federal regulations, resulting in denials from insurers or government payers.

Additionally, violating coding rules can lead to audits and investigations, leading to the possibility of legal repercussions for fraudulent claims submission. Therefore, being vigilant in following NCCI edits is crucial to maintain compliance and reduce financial and legal risks associated with improper coding practices.