Chapter 28 questions and
answers 2025 latest update
Which section of CPT is used by almost every provider specialty? - answer
Evaluation & Management
CMS defines ___________ as billing for a lower level of care than is supported
in documentation, making false statements to obtain undeserved benefits
or payment from a federal healthcare program, or billing for services that
were not performed. - answer Fraud
ICD codes are descriptive of the: - answer presenting disease or
condition
Which of the following actions is considered under the False Claim Act? -
answer Up-coding or un-bundling services
If a claim is submitted with a diagnosis that does not match the patients
medical record for the intent of increasing reimbursement is known as? -
answer Upcoding
T/F
There are two sets of documentation guidelines for Evaluation and
Management codes. - answer T
T/F
The alphabetical index for the ICD-10-CM book is located at the front of
the book(s). - answer T
What is assigned to a code to signify that the procedure or service has
been altered? - answer Modifier