CCA 1 DOMAIN 2: REIMBURSEMENT METHODOLGIES
EXAM 2025
CMS developed medically unlikely edits (MUEs) to prevent providers
from billing units of services greater than the norm would indicate.
These MUEs were implemented on January 1, 2007, and are applied to
which code set? - Precise Answer ✔✔HCPCS/ CPT codes
There are several codes to describe a colonoscopy. CPT code 45378
describes the most basic colonoscopy without additional services.
Additional codes in the colonoscopy section of CPT further define
removal of foreign body (45379) and biopsy, single or multiple (45379)
or biopsy code (45380) would violate which rule? - Precise Answer
✔✔Unbundling
What is the best reference tool to receive ICD-9-CM coding advice? -
Precise Answer ✔✔AHA's Coding Clinic for ICD-9-CM
In the laboratory section of CPT, if a group of tests overlaps two or more
panels, report the panel that incorporates the greater number of tests to
fulfill the code definition. What would a coder do with the remaining
test codes that are not part of a panel? - Precise Answer ✔✔Report the
remaining tests using individual test codes according to CPT.
What did the Centers of Medicare and Medicaid Services develop to
promote national correct coding methodologies and to control improper
EXAM 2025
CMS developed medically unlikely edits (MUEs) to prevent providers
from billing units of services greater than the norm would indicate.
These MUEs were implemented on January 1, 2007, and are applied to
which code set? - Precise Answer ✔✔HCPCS/ CPT codes
There are several codes to describe a colonoscopy. CPT code 45378
describes the most basic colonoscopy without additional services.
Additional codes in the colonoscopy section of CPT further define
removal of foreign body (45379) and biopsy, single or multiple (45379)
or biopsy code (45380) would violate which rule? - Precise Answer
✔✔Unbundling
What is the best reference tool to receive ICD-9-CM coding advice? -
Precise Answer ✔✔AHA's Coding Clinic for ICD-9-CM
In the laboratory section of CPT, if a group of tests overlaps two or more
panels, report the panel that incorporates the greater number of tests to
fulfill the code definition. What would a coder do with the remaining
test codes that are not part of a panel? - Precise Answer ✔✔Report the
remaining tests using individual test codes according to CPT.
What did the Centers of Medicare and Medicaid Services develop to
promote national correct coding methodologies and to control improper
