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_______ decides the outpatient facility payment

Intentional misuse of modifiers to bypass the NCCI edits constitutes fraud

Record falsification and/or tampering are viewed as a legal activity by law.

If a medical record is complete, it will include an individual’s past, present, or future physical or mental health along with a provision of health care for the individual and the past, present, or future payment for the provision of health care to the individual.

Medically unlikely edits are edits that:

Why is confidentiality important in medical records? 

The five most important federal fraud and abuse laws that apply to physicians are the Anti-Kickback Statue, the Physician Self-Referral Law, the Exclusion Authorities, the Civil Monetary Penalties Law, and __________________?

The abbreviation PHI stands for? [BLANK-1]

Match the key terms with their definitions.

Name one of the health insurance claim forms that providers submit to the insurance companies