Assigning a diagnosis code that does not match patient documentation for the purpose or increasing reimbursement through the DRG system is known as:
A) downcoding
B) upcoding
C) unbundling
D) bundling

Question

Quizplus · Accepted Answer

Upcoding is the practice of using a diagnosis code that indicates a more serious condition than what the patient documentation supports, with the intention of increasing reimbursement through the Diagnosis-Related Group (DRG) system.

Assigning a Diagnosis Code That Does Not Match Patient Documentation