CCMA - Administrative Assisting - Section 5.2
Apply basic diagnostic and procedural coding principles and identify CMS billing requirements including the advanced beneficiary notice.
Apply ICD-10 diagnostic codes and CPT procedural codes to patient encounters and identify CMS billing requirements including when to issue an advanced beneficiary notice. Recognise the difference between upcoding, downcoding, and unbundling, and why each constitutes a compliance violation.
ICD-10CPT codesCMS billingAdvanced beneficiary notice
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