AAPC CPB Chapter 7 Review Study Exam Test 2024.

AAPC CPB Chapter 7 Review Study Exam Test 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? a. 0 b. 1 c. 9 d. A - correct answer a. 0 Which of the following statements is TRUE about medical necessity? a. Medical necessity is determined by the physician that provides care to the patient. b. Medicare will reimburse for any services provided by the physician. c. Medical necessity is a determination that decides if a service has been reported on the correct claim form. d. Medical necessity is a determination made by the payer to decide if a service is necessary for treatment, prevention of Illness, or to diagnose a patient. - correct answer d. Medical necessity is a