Question

A generic term used for a series of activities designed to get around the system (e.g., adjusting a diagnosis so as to receive the highest potential for payment).

A) Manipulating
B) Exploiting
C) Cheating
D) Gaming the system

Answer 1

Gaming the system is the term used to describe a series of activities designed to get around the system, such as adjusting a diagnosis for higher payment in healthcare.

Step-by-step explanation:

The generic term used for a series of activities designed to get around the system, such as adjusting a diagnosis to receive the highest potential for payment, is called gaming the system.

This term is often used in the field of healthcare to describe actions that exploit loopholes or manipulate rules for personal gain.

Examples of gaming the system in healthcare may include exaggerating symptoms, providing false information, or misleadingly categorizing conditions to increase reimbursement or obtain certain benefits.