Upcoding definition
Upcoding means assigning an inaccurate billing code for a service that is payable or reimbursable by Medicaid funds, if the correct billing code for the service, taking into account reasonable opinions derived from official published coding definitions, would result in a lower Medicaid payment or reimbursement.
Upcoding means reporting a more complex and/or higher cost procedure than actually performed.
Upcoding means assigning an inaccurate billing code for a service that is
Examples of Upcoding in a sentence
Upcoding (See Types of Employees) ......................................................................................
Upcoding of Part-time Employees .................................................................................
Upcoding On-Call to Coded Replacement ....................................................................
Section 5.2. Upcoding is a temporary pay increase of BB employees under provisions of this Article.
Section 5.1. Upcoding of temporary employees will be situational and reviewed and approved on a case by case basis by the IBEW Business Representative and local management.
More Definitions of Upcoding
Upcoding means an action that submits a billing
Upcoding means using a billing code to describe
Upcoding means an action that submits a billing code that would result in payment greater in amount than would be paid using a billing code that accurately describes the services performed. The term does not include an otherwise lawful bill by a magnetic resonance imaging facility, which globally combines both technical and professional components, if the amount of the global bill is not more than the components if billed separately; however, payment of such a bill constitutes payment in full for all components of such service.
Upcoding means submitting an action that submits
Upcoding means assigning an inaccurate billing code for a service that is 2039 payable or reimbursable by Medicaid funds, if the correct billing code for the service, taking 2040 into account reasonable opinions derived from official published coding definitions, would
Upcoding means assigning an inaccurate billing code for a service that is payable or reimbursable by Medicaid funds, if the correct billing code for the service, taking into
Upcoding refers to the coding of a service at a higher level of complexity than was actually performed or documented to obtain a higher level of reimbursement.