Topical Terminology  

       

Topical Terminology > Upcoding



2 Definitions

Upcoding

For Upcoding we have terms and definitions in 2 topics. The topics are Employee Benefits and Health Insurance.



Upcoding (Employee Benefits)

Practice of health care providers who seek to maximize reimbursement by coding a treated illness as more serious than presented.


Upcoding (Health Insurance)

A coding inconsistency that involves using a code for a procedure or diagnosis that is more complex than the actual procedure or diagnosis and that results in higher reimbursement to the provider.




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