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This sounds just like lack of IRS enforcement. CMS audits too few of times and the system isn’t setup to identify upcoding that causes overpayments. Medical co
by firesteelrain 2y ago
This sounds just like lack of IRS enforcement. CMS audits too few of times and the system isn’t setup to identify upcoding that causes overpayments.
Medical coding itself is already too complicated to make it easy to distinguish from those codes meant to increase payments and those that are legitimate payments.