CPT and HCPCS codes are used in what type of healthcare setting? correct answersHospital outpatient,
physician offices
CPT is correct answerscurrent procedural terminology
HCPCS is correct answershealthcare common procedure coding system
Who publishes CPT (Level I HCPCS)?
How often is ...
What does the National Correct Coding Initiative edits do? correct answersHelps CMS to detect
inappropriate codes submitted on claims
- CPT coding guidelines
- Current standards of medical/surgical coding practice
- Advice from specialty societies
List 3 NCCI edits and the definition of those edits. correct answers1. Comprehensive/component edit =
edit pertains to HCPCS codes that should NOT be used together.
2. Mutually exclusive edit = edit applies to improbable or impossible combinations of codes
3. Medical unlikely edits = for part B claims, CMS has developed medical unlikely edits to reduce error
rates for items on the claim form that reference units of service
• (bullet) correct answersnew code
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