_____________ Is Illegal Because It Reports a Higher Level of Service

question 5

Multiple Choice

_____________ is illegal because it reports a higher level of service or more severe condition than is true of the encounter with the patient.

• A) Upcoding
• B) Unbundling
• C) Double billing
• D) HIPAA

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Definitions:

Vertically Integrated

A business structure where a company controls multiple stages of production or distribution within the same industry.

Production Constraint

A limitation or bottleneck that affects the quantity of products that can be produced within a given timeframe.

Overtime

The time worked beyond the standard hours set by a company's policy, often compensated at a higher pay rate.

Cost-plus Pricing

Pricing strategy where a fixed percentage is added to the total cost of making a product to determine its selling price.