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NCCI Updates

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The Patient Protection and Affordable Care Act (PPACA) mandates that all claims must be submitted in accordance with the Centers for Medicare & Medicaid Services (CMS) National Correct Coding Initiative (NCCI) guidelines. NCCI was developed to promote the correct coding of health-care services. NCCI consists of procedure-to-procedure edits that define pairs of procedure codes that should not be reported together and Medically Unlikely Edits that define the maximum units of service applicable for each procedure code, per client, per date of service.

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