A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:
A) upcoding
B) bundling
C) downcoding
D) unbundling

Question

​A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:
A) ​upcoding
B) ​bundling
C) ​downcoding
D) ​unbundling

Quizplus · Accepted Answer

Downcoding occurs when a payer reduces the level of a reported evaluation and management service based strictly on the diagnosis code reported, rather than on the service provided.

​A Payer Practice in Which a Reported Evaluation and Management

A Payer Practice in Which a Reported Evaluation and Management