CMS computers evaluate submitted claims to look for pairs of codes being reported that are known to be mutually exclusive procedures, also known as ________ edits.

Name: CMS computers evaluate submitted claims to look for pairs of codes being reported that are known to be mutually exclusive procedures, also known as ________ edits.
Brand: Quizplus
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Question

Quizplus · Accepted Answer

PTP (Procedure-to-Procedure) edits are used by CMS to identify pairs of codes that should not be reported together because they are mutually exclusive procedures.

CMS Computers Evaluate Submitted Claims to Look for Pairs of Codes