decisionhealth Newsletters, Answer Books - 2009 Issue 10 (October)
Compliance / Upcoding
Subscribe or sign in to view the full article.
Article Overview
This article covers compliance issues related to upcoding, with emphasis on how coding patterns may be reviewed for unusual distribution trends. It is written for coding, compliance, and auditing audiences interested in physician service coding, especially evaluation and management documentation and review practices.
Why This Topic Matters
Understanding upcoding patterns helps coding and compliance teams recognize when service coding may warrant internal review or audit attention. The topic is important for organizations that monitor physician billing behavior and document coding compliance.
What You Will Learn
- What upcoding is in a compliance context
- How coding patterns can be viewed in relation to audit risk
- Why evaluation and management coding is often discussed in upcoding reviews
- How default coding behavior may appear in distribution analyses
Who Should Read This
- Medical coders
- Compliance officers
- Auditors
- Physician billing staff
- Practice managers
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com