Author Question: When a provider, knowingly or unknowingly, uses practices that are inconsistent with accepted ... (Read 78 times)

lindiwe · **on:** Jun 27, 2018

When a provider, knowingly or unknowingly, uses practices that are inconsistent with accepted
medical practice and that directly or indirectly result in unnecessary costs to the Medicare
program, this is called
A. fraud.
B. abuse.
C. unbundling.
D. hypercoding.

Question 2

Which is considered when determining the number of diagnoses or management options for medical decision-making complexity? It includes a disease, condition, illness, injury, symptom, sign, finding, complaint, or other reason for the encounter, with or without a diagnosis being established at the time of the encounter.
a. chief complaint
b. history of present illness
c. nature of presenting problem
d. review of systems