_____________ is illegal because it reports a higher level of service or more severe condition than is true of the encounter with the patient.
A) Upcoding
B) Unbundling
C) Double billing
D) HIPAA

Question

Quizplus · Accepted Answer

Upcoding involves reporting a higher level of service or a more severe condition than was actually documented in the patient's medical records. This is considered fraud and is illegal. Unbundling refers to billing for individual services separately instead of using a comprehensive code that covers all the services. Double billing is billing for the same service twice, which is also fraudulent. HIPAA is related to patient privacy and confidentiality and does not pertain to billing practices.

_____________ Is Illegal Because It Reports a Higher Level of Service