In recent years, life expectancy in the US has dropped, and deaths of despair have been a significant contributor. Drug overdoses and suicides have increased
Moving the needle on upcoding will require a multifaceted approach, dependent on both regulatory oversight and buy-in from payers and providers.
In a previous post, I walked you through my decision to have radiation therapy only, without chemotherapy. Now I’ve started therapy. This post is about
Specifically, providers and payers can sometimes hide behind that complexity to intentionally bill erroneously. Upcoding is one potentially fraudulent form of billing. Upcoding occurs when more intensive and expensive diagnoses or treatments are documented than what was actually provided to the patient or medically necessary.
the health services research blog
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