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Mathematics with Business Applications6th EditionMcGraw-Hill Education 3,760 solutions What are CCI edits quizlet?Correct Coding Initiative (CCI) computerized Medicare system that prevents overpayment; only for medicare claims. These edits catch and monitor improper coding and updated on the CMS website every quarter.
What are CCI edits?CCI Edits. The NCCI is an automated edit system to control specific Current Procedural Terminology (CPT® American Medical Association) code pairs that can or cannot be billed by an individual provider on the same day for the same patient (commonly known as CCI edits).
What is the purpose of the NCCI edits?The purpose of the NCCI Procedure to Procedure (PTP) edits is to prevent improper payment when incorrect code combinations are reported. The NCCI contains one table of edits for physicians or practitioners and one table of edits for outpatient hospital services.
What is NCCI quizlet?National Correct Coding Initiative; a Medicare initiative to promote correct coding methodologies and strive to eliminate improper coding; it identifies mutually exclusive CPT-4 and HCPCS codes or those that should not be billed together. You just studied 35 terms!
What modifiers are not used to bypass NCCI edits?Each NCCI PTP edit has an assigned modifier indicator. A modifier indicator of "0" indicates that NCCI-associated modifiers cannot be used to bypass the edit. A modifier indicator of "1" indicates that NCCI-associated modifiers may be used to bypass an edit under appropriate circumstances.
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