Explain the concept of 'overcoding' or upcoding in risk adjustment.

Explain the concept of 'overcoding' or upcoding in risk adjustment.

• A. Overcoding/upcoding involves documenting or claiming diagnoses to inflate HCCs beyond what documentation supports, risking audits and compliance issues.
• B. Overcoding means coding only primary diagnoses.
• C. Upcoding means coding fewer diagnoses than present to increase scores.
• D. Overcoding is when you code non-medical attributes.

Answer: (A)