What Is an Under-Code on a Claim for Medical Services

question 5

Multiple Choice

What is an under-code on a claim for medical services?

• A) Misreading a table and choosing the code underneath the correct code
• B) Deliberately entering a code for a service that pays less
• C) An insurance company ploy to underpay for medical services
• D) A subcategory of a procedure indicated with an added decimal,
• E)g, 987.1

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Definitions:

Management

The process of planning, organizing, leading, and controlling resources to achieve organizational goals efficiently and effectively.

Resolution

The act of solving or settling a conflict, problem, or dispute, often through negotiation or agreed upon processes.

Aspirations

Desires or goals aimed at accomplishing something.

Strategy

A plan of action designed to achieve a long-term or overall aim, often involving tactical decisions.