Providers: More Coding is Not Fraud

As healthcare provider groups fought back against the Department of Health and Human Services warning about upcoding, they contested that more coding does is not the same as coding fraud, according to Fierce Healthcare.

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HHS and the Attorney General warned they would not tolerate healthcare fraud from electronic medical records and accused providers of falsely documenting and upcoding for higher reimbursements. The Centers for Medicare and Medicaid Services has also boosted its efforts to review billing and coding.

The Federation of American Hospitals, one of the groups fighting the fraud accusations, said, “We believe that any changes in coding reflect the fact that EHRs are enabling the development of more compete data sets regarding patient care and that these changes generally do not represent instances of inappropriate coding.”

More Articles on Coding, Billing and Collections:
Fifth Third Bank’s RevLink Collect to Reduce Collection Cycle
AHA Counters Allegations EHRs May Cause Upcoding Fraud
CMS: 9 Tasks Providers Must Complete to Prepare for ICD-10

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