A Physician Bills Separately for a Comprehensive Metabolic Panel and a Quantitative

question 59

Multiple Choice

A physician 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

Identify the role of commitments in negotiation and how they influence the process.

Recognize the use of hardball tactics and their implications on negotiation outcomes.

Comprehend the impact of successive concessions and the messages they convey in negotiations.

Assess the negotiation process and strategies employed by skilled negotiators.

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Definitions:

Budgeting

Crafting a blueprint for your financial expenditure, highlighting anticipated monetary targets and the means to accomplish them.

Activity Variance

The difference between planned activity levels and actual activity levels, used in budgeting and variance analysis.

Employee Salaries

Fixed payments made regularly to employees for their work, regardless of hours worked.

Budgeting

The process of creating financial plans for a set period, including estimating revenues, expenses, and capital needs.