Kickback violations occur when a(n) _____.
A) Physician refers patients to a facility in which he holds a financial interest
B) Provider receives compensation for patient referrals to a specific facility
C) Third-party payers reimburse facilities and physicians for overbilled services
D) Surgical procedure is coded at a higher level to increase financial compensation
Question 2
In the context of billing fraud, which is associated with unbundling?
A) Accepting payment for healthcare services never provided to patients.
B) Billing third-party payers (instead of patients) for noncovered services.
C) Referring patients to a facility in which the physician has a financial interest.
D) Separately billing laboratory tests to increase reimbursement from payers.
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