Coding Edits

Question 1

National Uniform Claim Committee (NUCC)

Answer 1

Provides instruction on how to fill out the claim form, use of punctuation and spacing with the goal of claim standardization

Question 2

National Correct Coding Initiative (NCCI)

Answer 2

Identify codes that are bundled into another service

Question 3

Medically Unlikely Edits (MUE)

Answer 3

Used to prevent overpayment of codes with unlikely unit value

Question 4

Local and National Coverage Determination (LCD & NCD)

Answer 4

Explain coverage circumstances of certain services, including indications, and any limitations for the service and coding guidelines