If the Evaluation and Management Code on an Insurance Claim

question 40

True/False

If the Evaluation and Management code on an insurance claim reflects a higher level of care than is reflected in the patient's medical record, the claim is an example of upcoding.

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Definitions:

Ableism

Discrimination and social prejudice against people with disabilities.

Life Expectancy

The average number of years an individual is expected to live based on statistical averages, often used as an indicator of the overall health of a population.

Aboriginal Canadians

Indigenous peoples in Canada who are not part of the Inuit or Métis communities, often referring to First Nations people.

Access to Health Care

The ability or opportunity for individuals to obtain and use necessary medical services, which can be influenced by factors such as location, affordability, and insurance coverage.