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What is upcoding and downcoding

03/10/2021 Client: muhammad11 Deadline: 2 Day

This’s for medical coding, answers should be following the instruction below, do not write too long, just focus on what they needed.
You are going to pick one coding case that reflects a case of upcoding or downcoding. Once you select a case, the following is what I need to see listed in your initial discussion post for full credit: Identify if this case is an example of upcoding or downcoding. . Explain how you identified this case as upcoding or downcoding .Explain how this can affect reimbursement. Provide an example of how you would communicate this discovery to the provider in a professional manner Case Onel Samantha Smith went to her doctor because she was experiencing nightmares that woke her up several times through the night. She experienced day time fatigue and had a hard time focusing on her daily activities. She also feared going to bed at night thinking she would have another episode. She wanted her doctor to refer her for a sleep study During the examination the office staff discovered that Samanthas insurance would not pay for a sleep study with a diagnosis of nightmares or fatigue, but would if the patient had sleep apnea. In order to get a sleep study covered under Samanthas insurance, the provider decided to place the diagnosis of sleep apnea in Samanthas health record even though she did not have that diagnosis. . 18 MacBook Pro F3 F4 FS F6 F7 F8
You are going to pick one coding case that reflects a case of upcoding or downcoding. Once you select a case, the following is what I need to see listed in your initial discussion post for full credit: Identify if this case is an example of upcoding or downcoding. . Explain how you identified this case as upcoding or downcoding .Explain how this can affect reimbursement. Provide an example of how you would communicate this discovery to the provider in a professional manner Case Onel Samantha Smith went to her doctor because she was experiencing nightmares that woke her up several times through the night. She experienced day time fatigue and had a hard time focusing on her daily activities. She also feared going to bed at night thinking she would have another episode. She wanted her doctor to refer her for a sleep study During the examination the office staff discovered that Samantha's insurance would not pay for a sleep study with a diagnosis of nightmares or fatigue, but would if the patient had sleep apnea. In order to get a sleep study covered under Samantha's insurance, the provider decided to place the diagnosis of sleep apnea in Samantha's health record even though she did not have that diagnosis. . 18 MacBook Pro F3 F4 FS F6 F7 F8

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