tci ED Coding & Reimbursement Alert - 2003 Issue 6

Reasons to Avoid Sloppy or Inaccurate Coding

There's nothing better than a list of consequences to whip any coder into shape. You may not be a bad seed, but potential penalties for fraudulent coding should encourage you to make extra careful selections. CMS and HHS' Office of the Inspector General will go after you the coder and your practice for systematic patterns of fraudulent coding and billing that include improper unbundling, bundling and upcoding. (See "Avoid the Red: Understand Your Liability as a Coder".) The types of penalties you could incur for egregiously and repetitively violating coding guidelines include but are not limited to the...

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