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Final answer:
The NCCI editing system for processing OPPS claims is known as the Outpatient Code Editor (OCE). This system scrutinizes the codes on an outpatient claim for accuracy, compatibility and appropriateness.
Explanation:
The NCCI editing system used in processing OPPS claims is referred to as the Outpatient Code Editor (OCE). This system is used to evaluate claims submitted for outpatient hospital services and ensure that they comply with Medicare coding and billing guidelines. The OCE identifies and applies various types of edits, such as medically unlikely edits (MUEs) and comprehensive APC edits, to determine appropriate payment for services provided.
The NCCI editing system used in processing OPPS claims is referred to as the Outpatient Code Editor (OCE). This system is designed to check for errors and discrepancies in outpatient billing by hospitals. The OCE scrutinizes the codes submitted on an outpatient claim and assesses whether or not the codes are compatible, accurate, and appropriate. If there are discrepancies or issues, the claim may be rejected or flagged for further review. Please note that the other options provided (ONE, OPPE, OCE) do not exist or are not relevant to the NCCI editing process.
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