Tag Archive | "Downcoding Is as Bad as Upcoding"

CMS’s 2015 CERT Report Reveals Dangers of Upcoding and Downcoding

Friday, February 12, 2016

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Yes, upcoding, or assigning an inaccurate code to a medical claim to increase reimbursement, equals fraud. But when you think about it, downcoding is just as bad as upcoding. Many practices think that if they downcode, or intentionally bill charges at a lower level than their documentation supports, they’ll stay off auditors’ radar. But the […]

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