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The Ross Health Plan Compensates Dr

Question 174

Multiple Choice

The Ross Health Plan compensates Dr. Cecile Sanderson on a FFS basis. In order to increase the level of reimbursement that she would receive from Ross, Dr. Sanderson submitted the code for a comprehensive office visit. The services she actually provided represented an intermediate level of service. Dr. Sanderson's action is an example of a type of false billing procedure known as


A) Cost shifting
B) Churning
C) Unbundling
D) Upcoding

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