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Medical billing fraud is:

Billing for services at a reduced level
Billing correctly for services performed
Billing for services that are not medically necessary
Billing for services that were not performed

Explanation

Answer: D - Medical billing fraud is billing for services that were not performed in the office. An example would be billing for an office visit for a patient who never came into the office. Medical billing abuse is billing for services that were not medically necessary. An example of medical billing abuse would be billing a high-level E&M service when only a low-level E&M service was performed.

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When you see the symbol # in front of a CPT code, what does it mean?
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