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Evaluation

Are you evaluating the accuracy of codes assigned for a patient's care?

Number of codes that do not match with documentation in the medical record

Number of times that a generic code was used rather than a more specific code

Number of codes that are incorrect according to the coding rules

Number of codes that have not been attested to by the physician as accurate

Number codes with a secondary diagnosis coded as the principal diagnosis

Number codes with a principal diagnosis coded as a secondary diagnosis

Number of codes that are upcoded (the code assigned has a greater reimbursement than the correct code)

Number of codes that are downcoded (the code assigned has a lesser reimbursement than the correct code)

Number of codes given for various elements or parts rather than the whole

Results

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