CodingCâu 30 / 100
The National Correct Coding Initiative (NCCI) edits are used primarily to:
a.Set the fee schedule amounts for each code
b.Determine patient deductibles
c.Prevent improper payment when incorrect code combinations are reported
d.Assign diagnosis codes automatically
Giải thích
NCCI edits, maintained by CMS, identify pairs of codes that generally should not be billed together for the same patient on the same day, as well as units-of-service limits. They help promote correct coding and prevent improper payments. A modifier may sometimes override an edit when documentation supports a distinct service.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- When laterality applies to an ICD-10-CM code, the coder must specify:
- In CPT, the '-51' modifier is generally appended to indicate:
- Upcoding, which is prohibited, refers to:
- Unbundling in coding refers to:
- Which resource lists CPT modifiers and their definitions and is essential for accurate procedural coding?
- The ICD-10-CM Official Guidelines for Coding and Reporting are best described as:
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