Errors and Compliance in Coding Essay

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Errors and Compliance in Coding

Downloading: Upcoming is when the coder uses a higher code for the services they actually received. Downloading is the opposite; it is used when the patient is charged less for the services they received. * Assumption coding: This Is when the coder assumes something was performed, when it is not stated in the patients chart. Charging extra for services that were not used could potentially cause a law suit. Ensuring all employees are properly trained, and allowing them to use software to double check their coding could significantly alp improve the coding and billing process In an medical facility.

The Medicare National Correct Coding Initiative effects the billing and coding process In many ways. This organization was established to prevent Improper coding and billing. The benefits of the CLC, Is It performs audits that catch most of the Improper coding. It detects codes that should not be coded together, which could cause the patient to be double billed, or Improperly billed. The system stops the physician from billing the patient until the codes are properly billed.