What NCCI Edits Are in Coding & Why They Are So Important to Your Optometry Practice: Navigating NCCI edits in optometry.

The article discusses the importance of understanding and navigating National Correct Coding Initiative (NCCI) edits in optometry billing to ensure compliance and proper reimbursement. NCCI edits, set by CMS, prevent improper coding and over-billing through Procedure-to-Procedure (PTP) and Medically Unlikely Edits (MUEs). Optometrists must adhere to these edits when billing for services like fundus photography and OCT to avoid claim denials, ensure compliance, and receive appropriate reimbursement. Staying informed and following billing practices can help protect practices and optimize revenue cycles. [Extracted from the article]