​A Payer Practice in Which a Reported Evaluation and Management

question 14

Multiple Choice

​A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:

• A) ​upcoding
• B) ​bundling
• C) ​downcoding
• D) ​unbundling

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Definitions:

NCI

Non-Controlling Interest, which refers to the equity in a subsidiary not attributable, directly or indirectly, to a parent company.

Indirect Ownership Interests

Ownership in a company that is mediated through another entity, such as owning a parent company that in turn owns subsidiaries.

Parent Ltd Indirect Interest

An ownership interest held by a parent company in a subsidiary through another subsidiary rather than directly.