Using a procedure code that provides a higher reimbursement rate than the code that actually reflects the services provided is referred to as:
A) bundling.
B) unbundling.
C) upcoding.
D) downcoding.

Question

Quizplus · Accepted Answer

Upcoding is the practice of using a procedure code that provides a higher reimbursement rate than the code that actually reflects the services provided. This is illegal and considered fraudulent.

Using a Procedure Code That Provides a Higher Reimbursement Rate