Western Governors University (WGU) HIM 2515 C808 Classification Systems Practice Exam

Question: 1 / 400

What are the potential consequences of coding errors?

Only delays in reimbursement

Denials of payment, audits, penalties, and legal issues

The selection of the second choice accurately identifies a comprehensive array of potential consequences stemming from coding errors. Coding errors can lead to denials of payment from insurance companies and payers, resulting in financial loss for healthcare providers. These denials may trigger audits, wherein documentation and coding processes are scrutinized more closely, potentially exposing the organization to penalties for non-compliance or inaccurate reporting.

Moreover, coding errors can set off a chain reaction of legal issues, especially if the errors relate to fraudulent billing practices or misrepresentation of services. This can escalate into significant legal challenges and risk management crises for healthcare organizations.

In contrast, the other options do not encapsulate the broad and serious implications that coding errors can necessitate. For example, delays in reimbursement are indeed a consequence, but they do not reflect the full spectrum of risks and challenges that coding errors introduce. Choices such as increased patient satisfaction ratings and reduced coding accuracy do not accurately represent negative repercussions associated with coding mistakes within the healthcare system. The ramifications can be severe, making the second choice the most accurate reflection of the consequences of coding errors.

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Increased patient satisfaction ratings

Reduced coding accuracy

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