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

The accounts not selected for the billing report is a daily report used to track accounts that are: a. Awaiting payment in accounts receivable b. Paid at different rates c. In bill hold or in error and awaiting billing d. Pulled for quality review (Ans- c. In bill hold or in error and awaiting billing The accounts not selected for billing report is a daily report used to track the many reasons that accounts may not be ready for billing. This report is also called the discharged not fi...

CPMA- Chapter one exam | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS In the NCCI edits, what does modifier indicator nine (9) represent? A modifier may be used to bypass the edits if the documentation supports the modifier. B. A modifier is not allowed to bypass the NCCI edits. C. Only modifier 59 can be used to bypass the edit. D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. - Answer -D. Modifiers are not applicable to the edits, t...

CPMA Chapter 1 Exam Prep With 100% Correct Answers 12.1% - Correct Answer-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Correct Answer-Fee-For-Service Prepayment Review - Correct Answer-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Correct Answer-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicatin...

according to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? complex closure identify the 2 digit modifier that may be reported to indicate a doctor performed the postoperative management of a patient, but ANOTHER doctor performed the surgical procedure: -55 according to the QHDDS, what is the definition of "other diagnoses"? "other diagnoses" is interpreted as additional conditions that affect patient care in terms of ...

Certified Billing & Coding Specialist Exam Review 2025| Test Questions and Answers| 100% What are medical ethics? Medical ethics are standards of conduct based on moral principles, commonly accepted as a guide for behavior toward patients, doctors, coworkers, government entities, and insurance companies. What does it mean to act within ethical behavior boundaries? It means fulfilling one's duties with integrity, dignity, respect, honesty, competence, fairness, and trust. Wh...

CPMA- Chapter one exam | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS In the NCCI edits, what does modifier indicator nine (9) represent? A modifier may be used to bypass the edits if the documentation supports the modifier. B. A modifier is not allowed to bypass the NCCI edits. C. Only modifier 59 can be used to bypass the edit. D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. - Answer -D. Modifiers are not applicable to the edits, t...

NHA,CBCS Exam (2024/ 2025) | Questions and Verified Answers| 100% Correct| A Grade QUESTION The physician bills $500 to a patient. After submitting the claim to the insurance company, the claim is sent back with no payment. The patient still owes $500 for this year. This amount is called Answer: Deductible QUESTION A patient who is an active member of the military recently returned from overseas and is in need of specialty care. The patient does not have anyone desi...

In the NCCI edits, what does modifier indicator nine (9) represent? A modifier may be used to bypass the edits if the documentation supports the modifier. B. A modifier is not allowed to bypass the NCCI edits. C. Only modifier 59 can be used to bypass the edi

When coding a benign neoplasm of skin of the left upper eyelid, which of the following codes should be used? a. D23.12 - Other benign neoplasm of skin of left eyelid, including canthus b. D17.0 c. D23.121 - Other benign neoplasm of skin of left upper eyelid, including canthus d. D23.122 - Other benign neoplasm of skin of left lower eyelid, including canthus correct answersc. D23.121 - Other benign neoplasm of skin of left upper eyelid, including canthus A Clinical Documentation Improvem...