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Medicare Can Deny or Downcode an E/M Service If It

question 47

True/False

Medicare can deny or downcode an E/M service if it feels that the service provided exceeds the patient's documented needs.


Definitions:

Marginal Revenue

The revenue increase resulting from the sale of one extra unit of a good or service.

Marginal Cost

Expenses accrued from the creation of one more product or service unit.

Average Total Cost

The total cost of production divided by the number of goods produced, indicating the cost on average of producing each unit of output.

Marginal Revenue

The plus income from the sale of one more unit of a good or service.

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