What is a primary goal of implementing NCCI edits?

The primary goal of implementing National Correct Coding Initiative (NCCI) edits is to prevent fraud and abuse in healthcare billing. NCCI edits are designed to promote correct coding methodologies and to ensure that services that shouldn't be reported together are appropriately flagged. This systematic approach helps safeguard against improper billing practices, such as billing for services that do not meet medical necessity or that are not supported by the clinical documentation.

By identifying and preventing potentially erroneous practices, NCCI edits help maintain the integrity of the healthcare billing process, protecting both patients and healthcare providers. This is particularly critical in systems that rely on reimbursement for services provided, as it fosters trust and accountability within the healthcare system. Thus, while aspects like revenue maximization, consistency in coding, and minimizing the number of codes utilized have their place in coding practices, the foremost intent of NCCI is to curb fraudulent activities and ensure compliant billing.