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Overcharging for services or equipment is considered fraud.

A) True
B) False

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A ____________________ is a two-character code added to the main CPT code describing circumstances specific to that procedure. These are located in Appendix A of CPT.

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CPT Assistant is a monthly newsletter published by the American Hospital Association.

A) True
B) False

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Membership in a professional association is not beneficial since continuing education and bulletins are available via the Internet.

A) True
B) False

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If physician X refers a patient to a pharmacy for prescription filling and receives compensation for this referral, this would be classified as insurance abuse.

A) True
B) False

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Diagnosis codes must be correctly linked to the ____________________ codes on the claim form to demonstrate medical necessity.

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This is the condition that is indicated in the medical record as the reason the patient sought care in an outpatient setting.


A) Principal diagnosis
B) Major diagnosis
C) Primary diagnosis
D) Secondary diagnosis

E) C) and D)
F) B) and C)

Correct Answer

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