Day 7

Question 1

W9 Form

Answer 1

W9 is a form were provider updates his details with the Insurance Company such as: qualification, billing address, facility address, etc.

Question 2

What is Inclusive?

Answer 2

When one procedure code’s payment is included with another procedure code, it is known as Inclusive.

Question 3

What NCCI Edits stand for?

Answer 3

NCCI Edits stands for National Correct Coding Initiative

Question 4

Medically not Necessary

Answer 4

When service was not supposed to be performed but still the Provider gave the service or treatment to the Patient.

Question 5

What are Medical Reports?

Answer 5

Medical Reports are the documents such as Treatment Prescription, Consultation Note, Letter of Medical Necessity, X-Ray Report, Surgery Report, Pathology Report, etc.

Question 6

What are LCD & NCD stand for?

Answer 6

LCD is Local Coverage Determination, and
NCD is National Coverage Determination

Question 7

What are LCD & NCD guidelines?

Answer 7

LCD & NCD guidelines are the guidelines set by the Medicare for each and every region, there is a list of Disease or Procedure Code under the Article No.