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Certified Coding Associate ICD10 Sample Test

1 of 5

The practice of using multiple codes that describe individual components of a procedure rather than an appropriate single code that describes all steps of the procedure performed is know as which of the following?





Correct Answer:
unbundling
unbundling refers to the practice in medical billing and coding where individual components of a medical procedure are billed separately rather than using a single comprehensive code that encompasses all components and steps of the procedure. this practice can be problematic as it may lead to a higher overall cost when compared to using a composite code that includes the entire procedure.

the national correct coding initiative (ncci) was established to prevent improper coding practices like unbundling. the initiative sets forth coding policies and edits that are based on coding conventions defined in the american medical association's cpt (current procedural terminology) manual, national and local policies and edits, coding guidelines developed by national societies, analysis of standard medical and surgical practices, and review of current coding practices. the ncci edits are used to check claims processed by medicare for incorrect billing combinations.

the purpose of these ncci edits is to prevent payments for codes that should not be billed together because one service inherently includes the other, or the clinical benefits of both together are not significantly greater than the more comprehensive one alone. when unbundling occurs, it can lead to what is known as "fragmentation billing," where several smaller fees are charged instead of one aggregate fee, potentially leading to increased healthcare costs and complexity in billing.

it is essential for healthcare providers to understand and adhere to correct coding practices to ensure compliance and to avoid legal and financial penalties. using the correct, comprehensive procedure codes simplifies the billing process, reduces the chances of errors, and ensures that payment is received for all services rendered without overcharging the insurance provider or patient. unbundling, when done intentionally, can also be considered fraudulent and lead to serious consequences, emphasizing the need for accurate and ethical coding practices in the healthcare industry.


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Certified Coding Associate ICD10 Aliases Test Name

Here is a list of alternative names used for this exam.

  • Certified Coding Associate ICD10
  • Certified Coding Associate ICD10 test
  • Certified Coding Associate ICD10 Certification Test
  • CCA ICD10 test
  • AHIMA
  • AHIMA CCA
  • CCA test
  • Certified Coding Associate ICD10 (CCA)
  • Certified Coding Associate ICD10 certification