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:

Recessionary Gap

A situation in macroeconomics where actual output is less than the potential output of an economy, often marked by high unemployment.

Short-Run Aggregate Supply

The total supply of goods and services that firms in an economy plan on selling during a specific time period, assuming that the prices of inputs remain constant.

Sticky Prices

Refers to the resistance of prices to change, despite shifts in the broader economy or a product's supply and demand.

Price Level

An index or average that reflects the overall price of goods and services in an economy at a given time, often used to measure inflation or deflation.