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Which of the following modifiers will appropriately bypass
the NCCI bundling edits? I. Modifier 25
II. Modifier 52
III. Modifier 62
IV. Modifier 58
a. I,
IV
b. I, II, &
III
c. I, II, &
IV
d. II & IV - ANSWER-a.
I, IV
Which of the following can be appealed regarding a claim?
a. Missing patient
information
, b. Coordination of
benefits
c. Termination of
coverage
d. Request for medical records - ANSWER-b.
Coordination of benefits
What may be appealed?
a. A rejected
claim
b. A non-covered
service
c. An excluded
service
d. A denied claim - ANSWER-d. A
denied claim
Claim rejections are due to what?
a. Claims that don't meet coverage criteria
b. Claims that are already adjudicated
c. Claims that do not contain necessary information for
adjudication
d. Claims that require medical record documentation -
ANSWER-c. Claims that do not contain necessary
information for adjudication