Examples Of Coding Errors In Billing

There are several errors that can happen during the coding and billing process. Claims are often rejected or downcoded because of medical necessity errors, coding errors, and errors related to billing. Claims denied for medical necessity are often denied for this because the reported services are not consistent with the diagnosis or do not meet generally accepted professional medical standards of care. Claims with coding errors could be that you used truncated coding. This means you billed with a non-specific (enough) diagnosis code. Or that you billed a code that does not match the age or gender of the billed patient. Some common billing errors are that you used an inappropriate modifier. Major strategies to ensure compliant billing