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Fordney

True False Fordney INS

QuestionAnswer
UCR (usual, customary, reasonable) is used mostly in reference to managed care service False
The Healthcare Common Procedure Coding System (HCPCS) consists of two levels of code False
In a UCR system, payment can be extremely high for a rarely performed but highly complex procedure because there may be no history of billed charges from other physicians on which to base payment. False
The CPT codebook includes a description of the number of follow-up days that are allowed after surgery at no additional charge. False
When there is a choice between two or three somewhat similar codes, the insurance claims examiner will choose the highest paying code. False
Created by: leemiller
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