Justifying a Procedure Code with a Diagnosis Code Is Known

question 30

Multiple Choice

Justifying a procedure code with a diagnosis code is known as:

• A) medical necessity.
• B) the National Correct Coding Initiative.
• C) unbundling.
• D) upcoding.

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Definitions:

Perfectly Competitive Industry

A Perfectly Competitive Industry is characterized by many sellers and buyers, free entry and exit, and a product that is identical across suppliers, leading to no single entity having market control.

Marginal Cost

The additional cost of producing one extra unit of a good or service.

Total Revenue

The total amount of money a company receives from selling its goods or services before any expenses are subtracted.

Profit-Maximizing Output

The point of production where a company reaches its maximum profit, occurring when marginal revenue is equal to marginal cost.