Based on ncci edits - Study guides, Class notes & Summaries

AAPC CPB - Chapter 7 Review Test Questions 2024. MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits - correct answer d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - which of the following Modifiers is allowed? a. 51 b. 59 c. 25 d. Modifiers are not allowed - correct answer d. Modifiers are not allowed Which of the following is con...

AAPC CPB - Practice Exam C. Questions and answers, graded A+ ____________ is incorporated by CMS into the NCCI program to limit the number of times a service or procedure can be reported by a physician on the same date of service to a patient. A. Outpatient Code Editor (OCE) B. Medically Unlikely Edits (MUE) C. Physician Fee Schedule D. National Coverage Determination (NCD) - -B. Medically Unlikely Edits (MUE) A "reasonable" charge in UCR is: A. What Medicare deems reasonable B...

Chapter 1 CPMA Exam Prep questions and answers 100% guaranteed success. 12.1% - correct answers.# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - correct answers.Fee-For-Service Prepayment Review - correct answers.Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - correct answers.Review of claims after payment. May result in either no change to the initial d...

AAPC CPB - Chapter 7 Exam 2024. MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits -ANSWER d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - which of the following Modifiers is allowed? a. 51 b. 59 c. 25 d. Modifiers are not allowed -ANSWER d. Modifiers are not allowed Which of the following is considered to be an anatomic modifier?...

AAPC CPB Chapter 7 ReviewWho were the NCCI edits originally developed to be used by? a. Commercial Carriers b. Medicare Administrative Contractors c. Self-pay patients d. Medicare beneficiaries b. Medicare Administrative Contractors The NCCI edits have column 1 and Column 2 codes and provide an indicator to determine whether a modifier is allowed to be used. Which indicator is used to tell the biller a modifier is never allowed? a. 0 b. 1 c. 9 d. A a. 0 Which of the follo...

AAPC CPB - Chapter 7 Review Questions and answers, rated A+ MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits - -d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - which of the following Modifiers is allowed? a. 51 b. 59 c. 25 d. Modifiers are not allowed - -d. Modifiers are not allowed Which of the following is considered to be an anato...

Certified Billing & Coding Specialist Exam Review 2023 What are Medical Ethics? - Answer-Standards of conduct based on moral principle. they are generally accepted as a guide for behavior towards pt's, dr's, coworkers, the gov, and ins co's What does acting within ethical behavior boundaries mean? - Answer-Carrying out one's responsibilities with integrity, dignity, respect, honesty, competence, fairness, and trust Compliance regulations - Answer-Most billing-related cases are b...

CPMA EXAM chapter 5 Questions & Answers Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - Correct ️️ National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - Correct ️️ Annually (more...

AHIMA CCS Exam Prep Questions With Complete Solutions (Verified And Updated) CPT defines a separate procedure as - answerProcedure considered an integral part of a more major service No combination code available - answerUse separate codes for hypertension and acute renal failure Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assignment for which of the following diagnoses? - answerBody Mass Index (BMI) POA I...

AHIMA CCS Exam Prep Questions With Complete Solutions (Verified And Updated) CPT defines a separate procedure as - answerProcedure considered an integral part of a more major service No combination code available - answerUse separate codes for hypertension and acute renal failure Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assignment for which of the following diagnoses? - answerBody Mass Index (BMI) POA I...