Tag: Undercoding


Reasons for Holdups in the Medical Billing Process

The revenue cycle function in healthcare is a complex process that has led to a disconnect between physicians, coding teams, billers, and administrators. The result is unnecessary time and staffing resources reallocated toward capturing revenue, instead of focusing on patient care. In the end, significant amounts of money are left on the table, patient care […]
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“Defensive” Undercoding Is Indefensible

Undercoding, or reporting a lesser service than was performed and documented, is sometimes employed as a defensive strategy to stave off claims denials or audits. But, undercoding can make a provider an outlier, and may create consequential patient care, compliance, and financial liabilities. For example: Undercoding Leaves Money On The Table, Driving Down Provider Reimbursement […]
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