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So, knowing that upcoding is both unethical and illegal, what alternatives could you suggest for this...

So, knowing that upcoding is both unethical and illegal, what alternatives could you suggest for this provider (and their staff)?

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Answer #1

The alternatives which can be suggested to the provider to prevent upcoming are

  • Encouraging to use National Correct Coding Initiative will be helpful to identify any multiple codes and it can be edited correctly
  • Accurate and appropriate use of the modifiers can prs e t upcoming by the probiders
  • Ensuring proper documentation to be maintained when the codes used are not uplisted
  • Injection codes as to be double checked before coding
  • Avoid using unbundling coding system
  • Supervision and training of the subordinate who codes on behalf of them for the treat
  • Training and refreshing the staffs periodically on the coding system and the new changes
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