According to Jennifer Hume, CPC, CPCO, CPMA, CEMC, a member of the American Academy of Professional Coders (AAPC), Salt Lake City, Utah, the four most prevalent coding myths are the following:
debunks these common coding myths and explains how they can lead to professional and financial difficulties for physicians and physician practices.
Undercoding is a poor choice for several reasons.
When they undercode, "physicians leave dollars on the table for medically appropriate services for patients," says Hume
Further, physicians who undercode may be placing themselves at increased risk for an audit because their coding is inconsistent with that of their peers.
The Centers for Medicare & Medicaid Services
(CMS) does extensive data mining and obvious inconsistencies will catch its attention, Hume
For example, Doctor A bills everything at the lowest level of evaluation and management (E&M) service but all of his
peers are at mid- or high-level E&M.