Chapter 1 CPMA Exam Prep Questions
and Answers
12.1% - Answer-# of improper Medicare Fee-For-Service claim payments, according to
Federal Government.
FFS - Answer-Fee-For-Service
Prepayment Review - Answer-Review of claims prior to payment. Prepayment reviews result
in an initial determinatio...
NCCI Edits are performed by - Answer✔✔-Macs, ZPICs, CERT, and Medicare FFS
Complexity: Non-complex
CMS developed the NCCI to - Answer✔✔-Promote national correct coding methods and to
control improper coding that leads to inappropriate payment in Medicare Part B claims. NCCI
Edits prevent improper payments when incorrect code combinations are reported. The NCCI
Edits are updated quarterly.
The coding policies are based on the following coding conventions... - Answer✔✔-*American
Medical Association (AMA) Current Procedure Terminology (CPT) Manual
*National and local Medicare policies and edits
*Coding guidelines developed by the National societies, standard medical and surgical practice,
and current coding practice.
PTP - Answer✔✔-Procedure-to-Procedure edits
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