[Expert Solution]: The NCCI edits were created Question 7…

The NCCI edits were created Question 7 options: to prevent proper payment when correct code combinations are reported. A procedure to procedure (PTP) that is incorporated into the OCE (Outpatient Core Editor) to promote correct coding methodologies and to control improper coding leading to inappropriate payments. It uses a procedure to procedure (PTP) that is incorporated into the OCE (Outpatient Code Editor) to deter high reimbursement rates, and to lower healthcare costs for Medicare beneficiaries. The Code Editor is used for both outpatient and inpatient claims. to develop better coding practices and promote the use of modifier -59 on every claim. An Outpatient Code Editor applies the modifier -59 on claims so that the provider can get paid for unbundling.