CCI in Medical Billing
CCI stands for Correct Coding Initiative, a program by the Centers for Medicare & Medicaid Services (CMS) aimed at preventing improper coding and billing.
CCI in Medical Billing Explained
The Correct Coding Initiative (CCI) establishes guidelines for billing codes to prevent overbilling or fraud by ensuring that services billed together are compatible. CCI edits are applied to claims to prevent inappropriate payments, particularly for services that should not be billed together. It helps maintain the integrity of the Medicare and Medicaid programs.
For example, CCI edits prevent a provider from billing for two procedures that are considered part of the same service.
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