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WorksheetsNational Correct Coding Initiative (NCCI) Procedure to Procedure
Total questions: 10
Worksheet time: 5mins
The Medicare National Correct Coding Initiative (NCCI) was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment.
True
False
The Medicare National Correct Coding Initiative (NCCI) includes all possible combinations of correct coding edits or types of unbundling that exist.
True
False
When reviewing the current version of the National Correct Coding Initiative (NCCI) Procedure to Procedure edits it includes all previous versions and all updates from January 1, 1996 to the present.
True
False
The Medicare National Correct Coding Initiative (NCCI) are updated, loaded into the Medicare claims processing systems and onto the CMS web pages.
Monthly
Quarterly
Bi-annually
Annually
The Medicare National Correct Coding Initiative (NCCI) is comprised of two provider-type choices of procedure-to-procedure (PTP) code pair edits.
True
False
For the Medicare National Correct Coding Initiative (NCCI) edits which modifier indicator will allow a separate payment for the component service, if all criteria is met?
Modifier Indicator – 0
Modifier Indicator – 1
Modifier Indicator – 9
If both the Column 1 code and the Column 2 code are clinically appropriate you must submit the claim with the medical documentation to support the Column 2 code?
True
False
Modifier 59 is the only valid modifier to use to justify the clinical circumstances to unbundle a code pair edit?
True
False
When services are denied based on an NCCI edit you can bill the beneficiary?
True
False
Concerns/questions about NCCI edits should be sent to:
National Government Services
Centers for Medicare and Medicaid Services
Office of Inspector General
Correct Coding Solutions LLC
