It may also be a good indication that the physician is upcoding or downcoding, both of which can be costly. |
Another reason for upcoding your patients' illnesses is to manipulate reimbursement rules for your patients' benefit. |
If financial gain is the only justification for upcoding or downcoding, then it is deceitful. |
The federal authorities at the time called such findings an indication of possible overbilling, and yesterday's agreement includes an admission to upcoding for pneumonia treatments. |