Ch. 08 intro to CPT coding Questions with 100% Correct Answers| Verified | Latest Update 2024

To promote national correct coding methodologies and control the improper assignment of codes that result in inappropriate reimbursement of Medicare Part_________ claims, CMS implemented the NCCI. B The NCCI was initially developed for use by Medicare administrative contractors (MACs) that process Medicare Part B claims for physician office services; in August 2000, NCCI edits were added to the Outpatient Code ____________ for use by MACs to process Medicare Part B claims for outpatient hospital services. outpatient code editor The NCCI code pairs that should not be billed together because one service inherently includes the other are called column 1/column 2 edits, while the NCCI code pairs that, for clinical reasons, are unlikely to be performed on the same patient on the same day are called ___________ ________________ edits. mutually exclusive When a submitted claim for reimbursement is denied because of incorrect coding rather than medical necessity, the provider cannot submit an Advance Beneficiary Notice (ABN) or a Notice of Exclusions from Medicare ________ to seek payment from a Medicare beneficiary. benefit