How could a physician end up getting paid less than the allowable rate for a certain service?

a. The billing was done incorrectly.
b. The UCR factors were entered incorrectly.
c. The physician's usual fee is less than the allowable amount.
d. The biller coded the wrong diagnosis.


Answer: c

Health Professions

You might also like to view...

Which of the following is NOT associated with the sympathetic nervous system?

A) Vagus nerve B) Adrenergic C) Thoracolumbar D) Fight-or-flight response

Health Professions

The Program of All-Inclusive Care for the Elderly (PACE) is a program for low-income elderly individuals that is:

a Medicaid program. a joint Medicare-Medicaid program. a program funded by private insurers. a state-run program.

Health Professions

HCPCS Level II codes are also known as CPT codes

Indicate whether the statement is true or false

Health Professions

When clipping a hedgehog's nails, it is important that you do not clip into the ___________________ because this will cause bleeding

Fill in the blank(s) with correct word

Health Professions