Match the following:

Question

A) fraud
B) assumption coding
C) upcoding
D) mutually exclusive
E) HCPCS Level II codes
F) abuse
G) unbundling
H) HCPCS Level I codes
I) HCPCS modifier
J) advance beneficiary notice

1) The codes used to report vision and hearing services
2) The notice that alerts a Medicare beneficiary that a service may NOT be medically necessary and is, therefore, NOT covered
3) Intentional acts of deception used to take advantage of another person or entity
4) The codes found in the Current Procedural Terminology (CPT) code book
5) Billing for procedures or services that were NOT necessary
6) Two codes that could NOT have both reasonably been performed during a single patient encounter
7) Reporting items or services that are NOT actually documented in the medical record but that the coder believes were performed
8) The use of a procedure code that provides a higher reimbursement rate than the code that actually reflects the services provided
9) The two-character code used with all levels of HCPCS codes to provide additional detail on services reported on Medicare claims
10) The practice of billing the parts of a bundled procedure as separate procedures

Answer 1

1) E HCPCS Level II codes
2) J advance beneficiary notice
3) A fraud
4) H HCPCS Level I codes
5) F abuse
6) D mutually exclusive
7) B assumption coding
8) C upcoding
9) I HCPCS modifier
10) G unbundling