Which of the Following Is Not a Potential Reason for Downcoding

question 10

Multiple Choice

Which of the following is not a potential reason for downcoding?

• A) The insurance carrier does not cover the services included on the claim.
• B) The coding system used by the insurer does not match that used by the provider.
• C) A workers' compensation carrier converts a CPT code to the lowest-paying code in the system.
• D) The payer discovers that documentation does not back up the level of code used.
• E) The provider uses a HCPCS code the insurer does not recognize.

Recognize the role of traits and internal conditions (like optimism) in personality and behavior.

Appreciate the diversity in personality theories (trait, psychodynamic, cognitive-social) and their approaches to assessment.

Understand the definitions and distinguish between various mental disorders and conditions related to schizophrenia and its spectrum.

Identify genetic and environmental factors contributing to the development of schizophrenia.

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