{"title":"Is Your Practice Experiencing Down-coding?","authors":"","doi":"10.1542/pcco_book227_document001","DOIUrl":null,"url":null,"abstract":"How do you know if you have been affected by down-coding? What is your risk? This article will review some of the risk factors, signs and symptoms, and potential treatment of down-coding as outlined by the American Academy of Pediatrics (AAP) “Prepayment Downcoding Checklist” (https://downloads.aap.org/AAP/PDF/Downcoding%20Checklist.pdf).\n Down-coding policies affect payment for evaluation and management (E/M) services. The risk of down-coding is higher for some physicians and other qualified health care professionals (QHPs). Underpayment caused by down-coding may pass through the billing office unnoticed. Treatment of down-coding depends on the level of coding accuracy identified in chart reviews.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"38 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AAP Pediatric Coding Newsletter","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1542/pcco_book227_document001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
How do you know if you have been affected by down-coding? What is your risk? This article will review some of the risk factors, signs and symptoms, and potential treatment of down-coding as outlined by the American Academy of Pediatrics (AAP) “Prepayment Downcoding Checklist” (https://downloads.aap.org/AAP/PDF/Downcoding%20Checklist.pdf).
Down-coding policies affect payment for evaluation and management (E/M) services. The risk of down-coding is higher for some physicians and other qualified health care professionals (QHPs). Underpayment caused by down-coding may pass through the billing office unnoticed. Treatment of down-coding depends on the level of coding accuracy identified in chart reviews.
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