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I'm currently working for a large private practice, not affiliated with any hospital. There is major pressure to upcode coming from management. Some of the midlevels in the practice code all of their visits as level 5, largely because management makes statements such as "all of our patients are sick enough to be level 5". I've been called out for being an outlier and having "too many" lower codes.
I can't find confirmation of this, but am I correct in assuming that each physician would be held responsible individually for his or her own coding in the event of an audit? Meaning "my boss made me do it" would not be a defense, right?
It's getting to the point where I'm starting to poke around for other employment opportunities.
I can't find confirmation of this, but am I correct in assuming that each physician would be held responsible individually for his or her own coding in the event of an audit? Meaning "my boss made me do it" would not be a defense, right?
It's getting to the point where I'm starting to poke around for other employment opportunities.