Encouraged to up-code for higher-level visits

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Reference no: EM133796086

Question

A Family Nurse Practitioner (FNP) working in a primary care clinic was encouraged to up-code for higher-level visits than what was provided, resulting in higher reimbursement from insurance companies. The NP has been asked to conform to these billing practices. The NP knows participating in or condoning these practices violates professional ethics and legal standards. Legal/Ethical Component This scenario has a legal and ethical component. Up-coding is illegal and can result in fines, legal action, and loss of credibility for the NP and the healthcare clinic; it breaches regulations set by healthcare authorities such as the Centers for Medicare.

Reference no: EM133796086

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