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by brycehamrick 2475 days ago
Upcoding is extremely common and almost never comes with any consequences. It's routine for staff at the hospital to add line items for things that never actually happened. I've personally seen procedure codes for neuropsychological testing in the ER when the staff never completed those exams, as an example. The billing codes require very specific actions to have taken place in order for the insurance companies to reimburse. It's not often done out of malice, the codes added are likely what should have taken place but the hospital staff are overworked and end up cutting corners.
1 comments

This is outright fraud.. I wish I could wear a bodycam into the hospital and have the footage confirm everything I'm billed for is actually administered and necessary for the diagnosis I'm provided by the physician.