A(n)________ Is a Rule That Cannot Be Violated by the Database

question 128

Short Answer

A(n)________ is a rule that cannot be violated by the database users.

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Definitions:

CPT Code Format

Refers to the standardized system of coding used by healthcare providers to identify specific medical, surgical, and diagnostic services for billing purposes.

Downcoding

The insurance carrier bases reimbursement on a code level lower than the one submitted by the provider.

Insurance Carrier

A company that provides insurance policies to individuals or entities, offering financial protection against losses.

HCPCS Code

Stands for Healthcare Common Procedure Coding System, used for coding healthcare procedures, services, and equipment for billing purposes.