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

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Definitions:

AASB 8/IFRS 8

Operating Segments, a standard that requires entities to disclose information about their operating segments, products, services, and geographical areas.

Disclosure Requirements

Rules and regulations that mandate the release of all relevant financial information that could influence the decision-making process of investors, stakeholders, and the public.

Reportable Segments' Revenue

The revenue generated from different segments of a business that meets certain criteria making it significant enough to require separate disclosure in financial reports.

Entity's Revenue

The total amount of income generated by a company from its normal business operations.