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Explain Preventing up coding and down coding and discuss the process steps involved in the Medical...

Explain Preventing up coding and down coding and discuss the process steps involved in the Medical assistant or other health care provider with the task. Respond to two students who posted a discussion on a topic different from the one that you selected. Answer in 50 words or more.

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Answer #1

Methods of preventing up coding are,

  • Keep up with medical billing and codinng trends
  • avoid duplicate billing
  • Be careful of inadvetent upcoding or undercoding
  • Ensure insurance has been verified
  • File mediical claims within designated deadlines
  • Double check the informations has been entered correctly

Methods of preventing down coding are,

  • monitor staff
  • use electronic billing
  • document downcoded claims
  • compare payments with fee schedule
  • take help from medical associatioons
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