Medical Coding Practice Test 2025 – Comprehensive All-in-One Guide to Success!

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Question: 1 / 400

Which of the following is NOT a consequence of coding fraud?

Loss of licensure or certification

Financial support from health departments

The identification of financial support from health departments as not a consequence of coding fraud is based on the understanding that such support is intended to aid healthcare providers in delivering necessary services rather than penalize them. Coding fraud typically involves misrepresentation of services provided or billing for services not rendered, which can lead to serious repercussions.

In cases of coding fraud, the consequences directly impact the integrity of the healthcare system. Loss of licensure or certification can occur because regulatory agencies hold providers accountable for ethical billing practices and the credibility of the healthcare industry as a whole. Fines imposed by regulatory bodies serve as a financial penalty for fraudulent activities, addressing the need for accountability and compliance with laws governing medical coding. Additionally, legal actions against the provider may arise as a means to ensure that corrective measures are taken, and to deter further fraudulent behavior, thus protecting patients and the healthcare system.

In contrast, financial support from health departments is designed to promote efficiency and ensure the availability of healthcare services, not as a repercussion for unethical practices. Therefore, this option stands out as unrelated to the consequences that arise from coding fraud.

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Fines imposed by regulatory bodies

Legal actions against the provider

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