What does the Correct Coding Initiative (CCI) help Medicare providers control?

The Correct Coding Initiative (CCI) is a program designed specifically to prevent improper coding of claims billed to Medicare. It establishes a set of guidelines that define coding pairs where the use of specific codes together is not considered appropriate under Medicare rules. By implementing these guidelines, CCI helps ensure that claims submitted are billed accurately and in accordance with Medicare policies, thereby reducing the likelihood of coding errors that could lead to claim denials or improper payments.

This focus on proper coding not only helps providers avoid penalties or audits but also promotes efficient and transparent billing practices in healthcare. Ultimately, by emphasizing accurate coding, the CCI plays a crucial role in safeguarding the integrity of the Medicare claims process and ensuring that providers are properly reimbursed for the services they deliver, provided they follow the correct coding protocols.