What is the primary focus of the National Correct Coding Initiative (NCCI) policies?

The primary focus of the National Correct Coding Initiative (NCCI) policies is to prevent improper payment for services covered under Medicare and Medicaid. NCCI was established to promote correct coding methodologies and to eliminate inappropriate coding practices, which can lead to billing errors and potential fraud. By implementing these policies, NCCI helps ensure that claims are processed accurately and that healthcare providers are reimbursed appropriately for the services rendered. This initiative plays a critical role in maintaining the financial integrity of these programs and protecting against overpayment or underpayment issues.

While reducing healthcare costs and promoting coordinated care may be secondary outcomes of ensuring proper coding practices, they are not the primary focus of NCCI. Similarly, enhancing patient engagement is more related to the quality of care provided to patients rather than the coding policies that govern billing procedures. Thus, the emphasis on preventing improper payment aligns most closely with the core objectives of NCCI policies.