Upcodingis a practice in which providers submit CPT codes in a higher billing category in order to receive higher reimbursements. Healthcare experts consider upcoding a form ofmedical fraud. Despite that, upcoding is happening now more than previously, the RAND researchers said....
Updated: May 17, 2024 Views: 8,574 Share Inpatient coding refers to the review of hospital patients' medical charts in order to capture all diagnoses rendered and all prescribed medications, tests, treatments, equipment and supplies in order to maximize the hospital's reimbursement from health ...
LANDMARK REFORMSin inpatient evaluation and management (E/M) CPT codes took effect at the beginning of this year, the biggest changes in hospital coding in 25 years. Observation codes were tossed out, with clinicians now billing those services with the same inpatient codes they use for admitted...
Complex admissions involved ICU (general, surgical or medical ICU) or intubation and were categorized as intubation/no ICU, ICU/no intubation or ICU/intubation based on ICD-9-CM procedure codes, Current Procedural Terminology (CPT) codes, and charge codes. The cardiac care unit was not counted...