One Example of Health Care Fraud Involves Billing for More

question 93

Multiple Choice

One example of health care fraud involves billing for more expensive services or procedures than were actually provided or performed. This practice is termed ______ and requires "inflation" of the patient's diagnosis code to a more serious condition consistent with the false procedure code.

• A) ladder coding
• B) trade coding
• C) upcoding
• D) step coding

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Definitions:

Cheating

An act of dishonesty or unfairness intended to gain an advantage.

Matching Hypothesis

A theory in social psychology that suggests individuals are more likely to form and succeed in a committed relationship with someone who is equally socially desirable.

Physical Attractiveness

The degree to which a person’s physical traits are considered aesthetically pleasing or beautiful in their society or culture.

Partners

Individuals who enter into a personal relationship, often used in the context of business, marriage, or collaboration.