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ACFE Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam CFE-Financial-Transactions-and-Fraud-Schemes Question # 34 Topic 4 Discussion

ACFE Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam CFE-Financial-Transactions-and-Fraud-Schemes Question # 34 Topic 4 Discussion

CFE-Financial-Transactions-and-Fraud-Schemes Exam Topic 4 Question 34 Discussion:
Question #: 34
Topic #: 4

Mario performs surgery on a patient to replace a bone. The surgery should be billed using one code, but Mario bills the surgery using three codes (one for the entire surgery, one for the removal of the bone, and another for the insertion of the artificial bone), which increases the cost. Which of the following BEST describes Mario's scheme?


A.

Fictitious services


B.

False diagnosis


C.

Upcoding


D.

Unbundling


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