Question

1. True or false: Using codes 76065-RT and 76065-LT instead of 76066 is unbundling.

2. True or false: Using codes 49000 and 44150 together for the same procedure is unbundling.

3. True or false: A good compliance plan significantly reduces qui tam liability.

Answer 1

1. True as it makes the unbundling as per National Correct Coding Initiative, which means they can never be paid separately. This is for the diagnostic mammography

2.False as code 49000 for the exploratory laparotomy should not be performed together for the same procedure with code 44150 open abdominal procedure like total abdominal colectomy for unbundling

3. True as there is need to avoid or reduce the qui tam liability for the accomplishment of the good compliance plan. As qui tam” provisions of the Federal False Claims Act.