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:

Gender Gap

The disparities between women and men, often observed in social, economic, political, intellectual, or cultural realms or achievements.

Heart Disease

A range of conditions affecting the heart, including coronary artery disease, arrhythmias, and heart defects.

Physiological Arousal

The body's acute response to stimuli, resulting in physical and psychological reactions such as increased heart rate, sweating, or heightened alertness.

Hostility

An emotion expressed as anger, aggression, or resentment towards others, often resulting from frustration or perceived threats.