Question

There are how many methodologies associated with the Medicaid NCCI program

Answer 1

The Medicaid NCCI program utilizes various methodologies, including MUEs, CCI Edits, and the Bilateral Surgery Modifier.

Step-by-step explanation:

The Medicaid NCCI (National Correct Coding Initiative) program utilizes various methodologies to determine appropriate coding and billing practices. These methodologies include:

1. MUEs (Medically Unlikely Edits): These are predetermined combinations of procedure codes and units of service that are unlikely to occur together in a medically necessary manner.
2. CCI Edits (Correct Coding Initiative): These edits identify code pairs that should not be reported together without the appropriate documentation or modifier.
3. Bilateral Surgery Modifier: This modifier indicates that a surgical procedure was performed on both sides of the body.

These are just a few examples of the methodologies associated with the Medicaid NCCI program.