List and define three of the "risky behaviors" coders should avoid
Unbundling - submitting multiple codes in a variety of ways to get more reimbursement
Downcoding - using a lower code to be "safe" from denial.
Upcoding - choosing a higher paying code that is not supported by the documentation.
Frequency - attempting to report a service in an unusual manner to be able to bill more often than is allowed.
Partial professional courtesy - accepting only the portion the insurance will pay from a patient (when that is not the agreement with the insurance company)
You might also like to view...
Patient is a 12-year-old boy who is 4 months status post colorectal repair after sustaining massive rectal, perineal, and testicular wounds from falling backwards onto the silverware basket of an open dishwasher
Injuries included traumatic puncture wounds caused by forks, as well as penetrating injuries caused by both table knives and steak knives. Colorectal repair included colostomy. Patient's mother has requested an office visit tomorrow to ensure the patient's complete understanding of the care and precautions required. Mother also wishes to ensure the continued recovery of the patient, since the patient wishes to return to soccer practice. More than 60 minutes are spent in extensive review of radiograph images and discussion with pediatrician cardiology and gastroenterology surgeons in preparation for tomorrow's visit in my clinic. Which of the following best reflects the E/M service provided? a. Physician standby services b. Prolonged physician service without direct patient contact c. Prolonged physician service with direct patient contact d. Critical care
Swimmer's ear is also known as:
A) otitis media. B) otitis externa. C) otitis interna. D) none of the above.