If providers submit a claim for a simple procedure when in fact a more complicated procedure was documented in the medical record, ____ may occur.

Name: If providers submit a claim for a simple procedure when in fact a more complicated procedure was documented in the medical record, ____ may occur.
Brand: Quizplus
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Question

Quizplus · Accepted Answer

Underpayment may occur because the claim submitted does not reflect the complexity of the procedure performed, leading to lower reimbursement than deserved.

If Providers Submit a Claim for a Simple Procedure When