An Unethical Practice of Upcoding a Patient's DRG Category for a More

question 71

Short Answer

An unethical practice of upcoding a patient's DRG category for a more severe diagnosis to increase reimbursement is called _____________________.

---

Definitions:

Declare Laws

The act of formally stating or enacting legal rules and regulations by a governing body or authority.

Unconstitutional

Something that contradicts or violates the principles and rules set forth in a country's constitution.

Separation of Powers

A principle of governance in which the state's powers are divided among different branches (typically executive, legislative, and judicial) to prevent abuse of power.

Judicial Branch

The part of government responsible for interpreting the law, resolving disputes, and administering justice within a legal framework.