CodingCâu 28 / 100
Upcoding, which is prohibited, refers to:
a.Reporting a lower-level service than was documented
b.Reporting a higher-level or more complex service than was actually documented or performed
c.Bundling two codes into one appropriately
d.Using the correct modifier on a claim
Giải thích
Upcoding is the improper practice of assigning a code that reflects a more severe diagnosis or more expensive service than the documentation supports, in order to obtain higher payment. It is considered fraudulent and can trigger penalties. Coders must assign codes strictly according to the medical record.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- The 'Z codes' in ICD-10-CM are primarily used to report:
- When laterality applies to an ICD-10-CM code, the coder must specify:
- In CPT, the '-51' modifier is generally appended to indicate:
- Unbundling in coding refers to:
- The National Correct Coding Initiative (NCCI) edits are used primarily to:
- Which resource lists CPT modifiers and their definitions and is essential for accurate procedural coding?
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