Susie Coder is a hospital inpatient coder. She is coding a complex Medicare record. She has to choose between two codes for the bill. Code A pays $3,400. Code B pays $9,700. The coding rules indicate that Susie should use code A. Susie uses code B. Susie is guilty of:

Question

Quizplus · Accepted Answer

Susie is guilty of upcoding, which is the practice of reporting a higher code than what the documentation supports in order to receive higher reimbursement.

Susie Coder Is a Hospital Inpatient Coder