Examlex
Briefly explain how the components of a formal proposal often differ from those of other formal reports.
Fraudulent Coding
Involves incorrect or deceptive medical coding practices intended to unjustly increase reimbursement from healthcare payers.
Code Linkage
Analysis of the connection between diagnostic and procedural information in order to evaluate the medical necessity of the reported charges. This analysis is performed by insurance company representatives.
Diagnostic
Pertaining to the identification of the nature or cause of a health problem through examination, testing, and analysis.
Procedural Information
Details or instructions regarding how to carry out specific procedures or processes, often used in a medical, technical, or administrative context.
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