What is a medically unlikely edit?
A. The NCCI edits table that identifies the E/M codes that may never be reported together
B. The NCCI edits table that identifies the codes that may or may not be utilized together, as well as whether a modifier is allowed or required in order for the service to be correctly reported
C. The NCCI edits applicable to claims submitted by hospitals, skilled nursing facilities, and home health agencies
D. The NCCI edits table that identifies the maximum number of times a specific code may be reported during a unit of service for one patient
Question 2
What does the term incident to mean?
A. A billing phrase used by CMS to help identify, report, and appropriately bill incidental clinical, medical, or professional services performed by an NPP that are integral to the physician's overall care of the patient
B. The diagnosis or diagnoses for which a patient has been admitted to an inpatient facility
C. The numeric codes that identify the specific settings in which the E/M services occurred
D. A clinical situation in which both a physician and an NPP have participated in the performance of one E/M service; must meet all incident-to requirements
Review Bundling, Add-on Codes, and Quantity Edits
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