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Fraudulent Coding
Incorrectly assigning medical billing codes to inflate billing or for services that were not rendered, often resulting in fraud.
Billing Practices
Procedures and policies used by healthcare providers and medical billing specialists to prepare and submit claims for healthcare services to insurers or patients.
Modifiers
In linguistics, words, phrases, or clauses that provide additional information about another word or phrase, altering its meaning. In the medical billing context, they are codes that alter the description of a procedure or service.
CPT Codes
Current Procedural Terminology codes, a set of medical codes used to describe medical, surgical, and diagnostic services to facilitate billing and documentation.
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