When Procedure Codes Are Used to Bill an Insurance Company

question 62

Multiple Choice

When procedure codes are used to bill an insurance company, which of the following is an example of upcoding?

• A) A medical office bills for performing a urinalysis in the office
• B) A medical office charges for venipuncture performed in the office
• C) A physician sends a patient to an outside laboratory and the laboratory bills the insurance company
• D) A medical office uses a separate code for each lab test in a panel when all tests in the panel were performed

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Definitions:

Tax Rate

The percentage at which an individual or corporation is taxed.

Income Before

"Income Before" generally precedes specific deductions or expenses, such as taxes or interest, indicating a subtotal of income in financial statements.

Bonus

Additional compensation given to employees as a reward for their performance or for special occasions.

FICA Taxes

Taxes imposed by the Federal Insurance Contributions Act, which fund Social Security and Medicare services.