What is an under-code on a claim for medical services?
A) Misreading a table and choosing the code underneath the correct code
B) Deliberately entering a code for a service that pays less
C) An insurance company ploy to underpay for medical services
D) A subcategory of a procedure indicated with an added decimal,
E)g, 987.1

Question

Quizplus · Accepted Answer

Under-coding on a claim for medical services refers to the deliberate entry of a code for a service that is less expensive than the service actually provided. This can be done to avoid audit scrutiny or for other reasons, but it results in less reimbursement for the provider.

What Is an Under-Code on a Claim for Medical Services