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Undercoding, or reporting a lesser service than was performed and documented, is sometimes employed as a defensive strategy to stave off claims denials or audits. But, undercoding can make a provider an outlier, and may create consequential patient care, compliance, and financial liabilities. For example: Undercoding leaves money on the table, driving down provider reimbursement. […]
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When it comes to audit results, most compliance experts, providers, and coders worry about “overcoding,” or reporting a service or procedure not sufficiently supported by documentation. Although overcoding is definitely a problem—and one that can get you into serious hot water—that doesn’t mean you’re making the right choice to “play it safe” by deliberately undercoding, […]
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