List and define three of the "risky behaviors" coders should avoid


Unbundling - submitting multiple codes in a variety of ways to get more reimbursement
Downcoding - using a lower code to be "safe" from denial.
Upcoding - choosing a higher paying code that is not supported by the documentation.
Frequency - attempting to report a service in an unusual manner to be able to bill more often than is allowed.
Partial professional courtesy - accepting only the portion the insurance will pay from a patient (when that is not the agreement with the insurance company)

Health Professions

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