corusehero although coders assign codes to all services provided in the healthcare record, the biller cannot bill for more than one service per 24 hours. T/F

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19-12-2022
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corusehero although coders assign codes to all services provided in the healthcare record, the biller cannot bill for more than one service per 24 hours. T/F

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charithran8975 charithran8975 · Answer 1 · 2022-12-21T12:49:04-05:00

Clinical coding is assigning numbers to diagnoses and procedures for retrieval, research and reimbursement purposes.

The American Medical Association's Current Procedural Terminology (CPT) codes are used to identify each diagnostic test, office visit, or medical operation that a healthcare provider performs (AMA) Upcoding is a type of fraudulent medical billing in which the cost of a health care is billed at a higher rate than it should have been based on the service actually rendered. Any payer, including the patient, Medicaid, Medicare, and private health insurers, can receive an upcoded bill. Upcoding might happen when you receive diagnostic services, have medical procedures, or see your healthcare practitioner, despite the fact that it is by no means the norm. expense of healthcare is shared by the government and private payers, upcoding results in higher health care costs for everyone.

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