Upcoding

A coding inconsistency that involves using a code for a procedure or diagnosis that is more complex than the actual procedure or diagnosis and that result in higher reimbursement to the provider

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AllMed Healthcare Management is a URAC-accredited Independent Review Organization (IRO) with an extensive, medical peer review panel comprised of more than 400 board-certified specialists from around the country, providing a high degree of interrater reliability. AllMed provides independent medical reviews and hospital peer review to healthcare organizations, insurance payers, medical managers, claims managers and third party administrators looking to control healthcare costs, while doing the right thing for patients every time.

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