Podcast
Questions and Answers
Which type of denials occur when the payment of one CPT is included in the payment of another CPT?
Which type of denials occur when the payment of one CPT is included in the payment of another CPT?
- Global denials
- Coverage Terminated denials
- Non Covered Services denials
- Inclusive denials (correct)
What action should be taken if a CPT is found to be inclusive according to the CCI Edit?
What action should be taken if a CPT is found to be inclusive according to the CCI Edit?
- Call insurance for reprocessing
- Appeal with medical record and screenshots of CCI Edit
- Send the claim for coding review (correct)
- Write off the amount
Which modifier is used when CPT 71048 is inclusive with 71101?
Which modifier is used when CPT 71048 is inclusive with 71101?
- 59-Distinct Procedure Service (correct)
- 25-Significant, Separately Identifiable Evaluation and Management
- XE,XP,XS,XU
- A and C
When should modifier 25 be used?
When should modifier 25 be used?
What additional documents can be used for appealing inclusive denials?
What additional documents can be used for appealing inclusive denials?
Which type of expenses are included in the Global denial?
Which type of expenses are included in the Global denial?
What is the global period for major surgery?
What is the global period for major surgery?
What is the global period for minor surgery?
What is the global period for minor surgery?
Which modifier is used when a patient comes for Evaluation and Management Service under a global period that is not related to surgery?
Which modifier is used when a patient comes for Evaluation and Management Service under a global period that is not related to surgery?
What action should be taken if the Date of Service (DOS) falls under the global period and the Diagnosis (DX) code is different?
What action should be taken if the Date of Service (DOS) falls under the global period and the Diagnosis (DX) code is different?
