If a CPT Code Stated on a Claim Form Represents

question 87

True/False

If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.

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Definitions:

Unique Goods

Products that are distinct in their characteristics, offering uniqueness that differentiates them from mass-produced items.

Price Discrimination

A strategy in pricing where the same provider sells identical or nearly identical products or services at varying prices across different markets.

Deadweight Loss

The reduction in total societal welfare resulting from market inefficiencies, typically due to taxes, subsidies, or monopolies.

Market Output

The total quantity of goods or services produced and offered for sale in a particular market.