You are working in the practice's billing department and realize that one of the providers is...

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You are working in the practice's billing department and realize that one of the providers is...

You are working in the practice's billing department and realize that one of the providers is routinely upcoding office visits and patient procedures. There is no documentation in patient health records to support these coding charges.

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Answer 1

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It is a case of malcoding by the healthcare provider . I will inform the incharge of the provider by matching the id present in the system about this incorrect coding as it's totally against the rules and regulations of coding and adding the bills to the patient unnecessarily .

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