Final answer:
The act of deliberately using complex codes to receive higher insurance reimbursements is considered fraud and carries legal consequences for the medical facility involved. So, the correct answer is option d.
Step-by-step explanation:
The deliberate and frequent act of using a more complex code for a procedure on forms submitted to an insurance company so that a higher level of reimbursement will be made to the doctor may result in a case being brought against the medical facility for fraud. This practice is not only unethical but also illegal, as it implies a deliberate attempt to deceive the insurance company for financial gain.
The healthcare provider's reimbursement should be based on the actual cost of the services provided, not inflated through misleading codes. Moreover, noncompliance with the terms of the healthcare provider's agreement, such as a fee-for-service or health maintenance organization (HMO) contract, can lead to legal consequences. So, the correct answer is option d.