Asked by Stephanie Sandoval on May 07, 2024
Verified
A medical provider bills separately for a comprehensive metabolic panel and a quantitative glucose test, which is normally included in the metabolic panel. This is an example of which of the following fraudulent coding and billing practices?
A) Reporting services that were not performed
B) Reporting services at a higher level than was carried out
C) Performing procedures not related to the patient's condition
D) Billing separately for services that are bundled in a single procedure code
E) Reporting the same service twice
Comprehensive Metabolic Panel
A blood test that measures your sugar (glucose) level, electrolyte and fluid balance, kidney function, and liver function.
Quantitative Glucose Test
A diagnostic test that measures the precise amount of glucose in a person's blood.
Fraudulent Coding
Involves incorrect or deceptive medical coding practices intended to unjustly increase reimbursement from healthcare payers.
- Detect and explicate the different fraudulent billing and coding practices prevalent in the healthcare industry.
Verified Answer
Learning Objectives
- Detect and explicate the different fraudulent billing and coding practices prevalent in the healthcare industry.
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