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Upcoding Is the Assignment of a DRG That Does Not

question 31

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Upcoding is the assignment of a DRG that does not match documentation and is for the purpose of increasing outpatient reimbursement.


Definitions:

Malaria Reduction

Efforts and strategies aimed at decreasing the incidence of malaria, a disease caused by parasites transmitted through the bite of infected mosquitoes.

Mosquito Nets

Fabric barriers designed to prevent mosquitoes from accessing an area, typically used over sleeping areas to prevent mosquito bites.

Risk Assessment

A systematic process of evaluating the potential risks that may be involved in a projected activity or undertaking.

Hazards

Potentially dangerous situations or materials that can cause harm or damage to people, property, or the environment.

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