In the ncci edits - Study guides, Class notes & Summaries

A 40-year-old patient has severe pain in his lower back. After multiple surgeries, physical therapy, and various medications without relief, the provider performed percutaneous epidural lysis of adhesions. An epidural catheter is placed and an epidurography is performed. A series of injections are performed over a span of 3 days. The catheter is removed. Utilize the NCCI edits and MUE edits above. Which of the following is the correct way to report this procedure? :a. 62264 b. 62264 x 2 c...

AAPC CPB Chapter 7 Review Exam Questions Correctly Answered 2024. Who were the NCCI edits originally developed to be used by? a. Commercial Carriers b. Medicare Administrative Contractors c. Self-pay patients d. Medicare beneficiaries - correct answer 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?...

NHA MEDICAL BILLING AND CODING 2024/25 EXAM REVIEW QUESTIONS AND ANSWERS, VERIFIED/ Which of the following describes the reason for a claim rejection because of Medicare NCCI edits? - -Improper Code Combinations (Medicare NCCI edits will trigger a claim rejection for improper code combinations) A claim is submitted with a transposed insurance member ID number and returned to the provider. Which of the following describes the status that should be assigned to the claim by the carrier? - -...

AAPC CPB - Chapter 7 Review | Questions and Correct Solutions Latest Update 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 followi...

A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. - A. Mother's insurance plan Which managed care plan has the patient receiving care from partici...

CBCS Exam Study Guide Questions with Complete Rationales Medical Billing & Coding as a Career - ANS: *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - ANS: Standards of conduct based on moral principle. They are generally accepted a...

CCS-P coding rules 2019 exam questions & answers NCCI edits - ANSWER-National Correct Coding Initiative edits. Medicare has a list of codes that cannot be reported together MODIFIER 22 Increased procedural services - ANSWER-is not for E/M. Increased Procedural Services is used when the work required to provide a service is substantially greater than typically required. Documentation must support the claim MODIFIER 23 unusual anesthesia - ANSWER-is used when anesthesia is required for...

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? a. 77 b. LD c. T5 d....

Which of the following describes the reason for a claim rejection because of Medicare NCCI edits? ----CORRECT ANSWER----------Improper code combinations Which of the following is the purpose of running an aging report each month? ---- CORRECT ANSWER----------It indicates which claims are outstanding Which of the following is the portion of the account balance the patient must pay after services are rendered and the annual deductible is met? ----CORRECT ANSWER-------- --Coinsurance When co...

AAPC CPB - Chapter 7 ReviewMUE 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 considered to be an anatom...