What does ncci stand for - Study guides, Class notes & Summaries

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

CPMA Top Exam Questions and answers With rationale, 100% Accurate. Verified. B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. - -In February 2020, an auditor is asked to...

What anatomical or compartment contains all the thoracic viscera except the lungs? - Answer Mediastinum Who is responsible for enforcing the HIPAA security rule - Answer Office of Civil Rights (OCR) ABN - Answer Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? - Answer Periodic audits What does the abbreviation MAC stand for? - Answer Medicare Administrative Contractor How many lobes make up the RIGHT lung? - Answ...

PRINCIPILES OF CPT CODING & CPT 2022/2023 PROFESSIONAL EDITION Which organization developed and now maintains the CPT code set? The American Medical Association. What are the two levels of the HCPCS codes? Level 1, CPT; Level II, Healthcare Common Procedure Coding System (HCPCS) national codes. Which organization maintains the HCPCS Level II codes? The Centers for Medicare & Medicaid Services (formally Health Care Financing Administration) On what date each year is most Category 1 codes imple...

CPMA Top Exam Questions and answers, 100% Accurate, rated A+ B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. - -In February 2020, an auditor is asked to review 10 recor...

CPMA Top exam questions and answers, 100% Accurate, rated A+ Fraud or Abuse: Billing for a service at a higher level than provided - -Fraud What is a Qua Tam relator? - -A person who brings a civil action for a violation for him/herself & for US Govt What is the difference between Stark Law & Antikickback law? - -No INTENT must be provien for Stark, Antikickpack requires proof of intent When banned for Fed/State healthcare program, what is the term of exclusion (in Years)? - -5 yea...

CPT coding Questions with Verified Solutions Category I codes Procedures or services identified by a five-digit CPT code and organized within the six sections. Main body of the CPT code book. Arranged in numeric order, with one exception the evaluation and Management section. parenthetical notes in the CPT code book indicate that a _______ code should not be reported with another code or codes. The triangle in CPT code book is used for? A revised code The + sign beside a CPT code indicates: I...

CPMA Exam Questions and answers, 100% Accurate, graded A+ Fraud or Abuse: Billing for a service at a higher level than provided - -Fraud What is a Qua Tam relator? - -A person who brings a civil action for a violation for him/herself & for US Govt What is the difference between Stark Law & Antikickback law? - -No INTENT must be provien for Stark, Antikickpack requires proof of intent When banned for Fed/State healthcare program, what is the term of exclusion (in Years)? - -5 years ...

review for AAPC CPC Questions and Answers What anatomical or compartment contains all the thoracic viscera except the lungs? - Mediastinum Who is responsible for enforcing the HIPAA security rule - Office of Civil Rights (OCR) ABN - Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? - Periodic audits What does the abbreviation MAC stand for? - Medicare Administrative Contractor How many lobes make up the RIGHT lu...

CPMA questions and answers 100% guaranteed success. Fraud or Abuse: Billing for a service at a higher level than provided - correct answers.Fraud What is a Qua Tam relator? - correct answers.A person who brings a civil action for a violation for him/herself & for US Govt What is the difference between Stark Law & Antikickback law? - correct answers.No INTENT must be provien for Stark, Antikickpack requires proof of intent When banned for Fed/State healthcare pro...