Upcoding is a practice in which hospitals code more secondary diagnoses or complications so that admissions or visits are coded at higher complexity levels. There is no standardized methodology used to measure upcoding; consequently, researchers and policymakers have a limited understanding of its prevalence. To address this gap, the authors of this report provide a review of methodologies to measure upcoding using literature from 2000 to 2023.
Authors
Dworsky, Michael, Whaley, Christopher M., Levin, Jonathan S., Reid, Rachel O., Crespin, Daniel J., Kim, Jin
- Division
- RAND Health Care
- Pages
- 41
- Published in
- United States
- RAND Identifier
- RR-A2683-1
- RAND Type
- report
- Rights
- RAND Corporation
- Series
- Research Reports
- Source
- https://www.rand.org/pubs/research_reports/RRA2683-1.html
