Match the following
-Intentional acts of deception used to take advantage of another person or entity
A) fraud
B) assumption coding
C) upcoding
D) mutually exclusive
E) HCPCS Level II codes
F) abuse
G) unbundling
H) HCPCS Level I codes
I) HCPCS modifier
J) advance beneficiary notice

Question

Quizplus · Accepted Answer

Fraud refers to intentional acts of deception used to take advantage of another person or entity.

Answer: F
 Abuse refers to incidents or practices that are inconsistent with accepted, sound medical, business, or fiscal practices. It involves actions that are not necessarily fraudulent but are improper and result in payment for services that are not medically necessary or that fail to meet professional standards of care.

Answer: G
 Unbundling refers to the practice of using multiple CPT codes to bill for parts of a procedure that should be billed under a single code.

Answer: H
 HCPCS Level I codes are Current Procedural Terminology (CPT) codes that are used to report services and procedures performed by healthcare providers.

Answer: I
 HCPCS modifiers are used in conjunction with HCPCS codes to provide additional information about services, procedures, or supplies.

Answer: J
 An advance beneficiary notice (ABN) is a written notice that a healthcare provider gives to a Medicare beneficiary before providing a service or item that is likely to be denied as not medically necessary or investigational.

The other choices are not correctly matched with the given definition.

Match the Following -Intentional Acts of Deception Used to Take Advantage of Another