Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...

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ANAHEIM, CA—Most interventional cardiologists believe that public reporting of PCI outcomes leads to avoidance of procedures and upcoding of patient clinical comorbidities, according to a survey of ...

For-profit status was found to influence the probability of upcoding for inpatient cases involving non-life-threatening injuries with implications for Medicaid and other insurers. Logistic regression ...