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.

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Definitions:

Personal Protective

Equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses, such as gloves, goggles, and face shields.

Body Defences

The inherent systems and mechanisms in the body designed to protect against disease, injury, and foreign invaders.

Interferon

A protein released by cells, usually in response to the entry of a virus, that has the property of inhibiting virus replication.