你的实践正在经历降级编码吗?

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引用次数: 0

摘要

你如何知道你是否受到了编码下调的影响?你的风险是什么?这篇文章将回顾美国儿科学会(AAP)“预付款编码清单”(https://downloads.aap.org/AAP/PDF/Downcoding%20Checklist.pdf)概述的一些风险因素、体征和症状,以及编码下调的潜在治疗方法。降级策略影响评估和管理(E/M)服务的支付。对于一些医生和其他合格的卫生保健专业人员(QHPs)来说,下调编码的风险更高。编码下调导致的少付可能会被账单办公室忽视。降级编码的处理取决于图表审查中确定的编码精度水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is Your Practice Experiencing Down-coding?
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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