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CFE - Financial Transactions and Fraud Schemes Exam - Question 39


A particular back surgery contains two basic components (an incision and muscle repair), but it is supposed to be billed using a single procedure code. Heather performs this back surgery on a patient and submits a claim using three codes: one for the full procedure, one for the incision, and one for muscle repair. Which scheme BEST describes Heather’s actions?

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5a97e10Option: D
Nov 30, 2024

D is the correct answer