The Ross Health Plan compensates Dr. Cecile Sanderson on a FFS basis. In order to increase the level of reimbursement th
Posted: Fri May 05, 2023 11:03 am
The Ross Health Plan compensates Dr. Cecile Sanderson on a FFS basis. In order to increase the level of reimbursement that she would receive from Ross, Dr. Sanderson submitted the code for a comprehensive office visit. The services she actually provided represented an intermediate level of service. Dr. Sanderson's action is an example of a type of false billing procedure known as:
A. Cost shifting
B. Churning
C. Unbundling
D. Upcoding
A. Cost shifting
B. Churning
C. Unbundling
D. Upcoding