Modifier -32 Is Used to Indicate a Service Is Mandated

question 19

Multiple Choice

Modifier -32 is used to indicate a service is mandated. Which of the following is an example of when a service is "mandated?"

• A)Another physician requests a second opinion.
• B)An insurance company requires a second opinion prior to surgery.
• C)The patient requests a second opinion.
• D)All of the above.

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Definitions:

Principal-Agent

Describes the relationship between a principal (e.g., an employer) and an agent (e.g., an employee), highlighting the potential issues arising from differing interests and information asymmetry.

Payment Scheme

The structure or method by which payments are made and received, often detailing terms, conditions, and the timing of payments.

Inefficient

A condition or situation where resources are not used to their best potential, resulting in lost opportunities or wastefulness.

Asymmetric Information

A situation in which one party in a transaction has more or superior information compared to the other, potentially leading to imbalances in transactions and market failures.