If providers submit a claim for a simple procedure when in fact a more complicated procedure was documented in the medical record, ____ may occur.
A. no payment
B. underpayment
C. overpayment
D. denial of claim
E. recovery audit
B. underpayment
Underpayments can occur when healthcare providers submit claims for a simple procedure, but the medical record reveals that a more complicated procedure was actually performed.
Health Professions
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