Because the diagnosis and procedure codes reported affect the DRG selected (and resultant payment), some hospitals engage in a practice called __________, which is the assignment of an ICD-10-CM diagnosis code that does not match patient record documentation, for the purpose of illegally increasing reimbursement.

Question

Quizplus · Accepted Answer

Upcoding is the practice of assigning an ICD-10-CM diagnosis code that does not match patient record documentation to illegally increase reimbursement.

Because the Diagnosis and Procedure Codes Reported Affect the DRG