BC Advantage - 2024 Issue 7

8 Common Medical Coding Errors That Could Impact Your Practice

  Government and private insurers have identified instances of improper medical billing practices through audits, highlighting the importance of accurate coding to avoid penalties and maintain a successful practice.   Medical coding errors generally fall into two categories: fraud and abuse. Fraud involves intentional misrepresentation, while abuse stems from innocent mistakes but still results in inaccurate billing. An example of abuse includes coding for a more complex service than performed due to misunderstanding the coding system.   The American Medical Association (AMA) provides resources to help healthcare providers accurately bill procedures using Current Procedural Terminology (CPT) and Healthcare Common...

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