When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

A) Reporting services that were not performed
B) Reporting services at a higher level than was carried out
C) Performing procedures not related to the patient's condition
D) Billing separately for services that are bundled in a single procedure code
E) Reporting the same service twice

Question

sapna kothari · Accepted Answer

Final Answer : C, Explanation :  Performing procedures not related to the patient's condition is considered fraudulent because it involves providing and billing for services that are medically unnecessary for the patient's current health status.

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