MGMA Connexion: Coding Myths Debunked

The physician community is coming under scrutiny for its coding practices and Jen Hume, CPC, CPMA, CEMC, talks about four common myths practice’s should guard against.

Myth #1: “Purposeful undercoding prevents audits …undercoding not only results in providers losing money on services rendered, it can actually prompt an audit”

Myth #2: “Payment equals accuracy …the number one reason for an audit was insufficient documentation on bills submitted for payment”

Myth #3: “Practices that don’t accept Medicare patients are not at risk for Medicare recovery audit contractor (RAC) audits”

Myth #4: “Size does matter, even the smallest practices can be audited”

To read the full version of this article, check out the March 2011 edition of MGMA Connexion p. 17 or click here for the virtual Connexion.


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