Question

which of the following may be a possible consequence for using an incorrect diagnosis as written (daw) code?

1. the patient may experience an allergic reaction from the medicine.
2. the physician could be sued by the insurance company.
3. the pharmacy may be held responsible for reducing claims that were submitted.
4. the patient may get the wrong dosage of medication.

Explanation:

Using an incorrect Diagnosis as Written (DAW) code can lead to financial - related issues for healthcare providers. Insurance companies may question claims based on incorrect codes. A wrong code doesn't directly cause an allergic reaction (as the drug's properties would cause that, not the code), nor does it directly lead to the patient getting the wrong dosage (medication dispensing and prescribing processes are more related to that). However, the physician may face scrutiny from the insurance company due to incorrect coding which can lead to claims being denied or investigated.

Answer:

The physician could be sued by the insurance company.