A Medical Provider Bills Separately for a Comprehensive Metabolic Panel

question 56

Multiple Choice

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

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Definitions:

Combustion Reactions

Chemical reactions that involve the burning of a substance in the presence of oxygen, often producing heat and light.

Ideal Conditions

Conditions that are considered perfect for a specific process or reaction, often theoretical and not attainable in practical situations.

Combustion Reaction

A chemical process in which a substance combines with oxygen, releasing heat and often light; commonly associated with fire.

Oxidation Number

A concept in chemistry that reflects the degree of oxidation of an atom in a chemical compound.