Click here for more sample CPC practice exam questions with Full Rationale Answers

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Practice Exam

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Practice Exam

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Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Billing Contractual (negotiated) rate vs billing set rate with adjustment

We were just told that it is fraud to bill payers that we are contracted with, the contracted rate instead of billing our set rate with the adjustment to the contracted rate. We wouldn’t take a payment less than the contracted rate and we wouldn’t just be billing different rates whenever…these are contracted rates.

Has anyone heard this before? Is it true?

Medical Billing and Coding Forum