__________________ occurs when a practitioner assigns a more serious diagnosis than is warranted to obtain more authorized sessions.
A) Downcoding
B) Upcoding
C) Treatment planning
D) Integrity

Question

Quizplus · Accepted Answer

Upcoding occurs when a healthcare provider submits codes for more serious (and often more expensive) diagnoses or procedures than the patient actually received or needed, to receive higher reimbursements from insurance companies or government programs.

__________________ Occurs When a Practitioner Assigns a More Serious Diagnosis