Which is NOT a goal of a coding compliance program?

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A coding compliance program is designed to maintain the integrity and accuracy of coding practices within healthcare facilities while ensuring that they adhere to relevant laws and regulations. One of the primary goals is to ensure accurate coding, which promotes correct billing for services rendered. This accuracy not only supports proper reimbursement but also upholds the quality of care provided to patients.

Reducing the risk of fraud is also a significant goal of a compliance program. By implementing strict coding standards and regular audits, organizations can identify and mitigate potential fraudulent billing practices, thereby protecting themselves from legal consequences and financial penalties.

Improving financial performance based on coding accuracy further emphasizes the importance of accurate coding. By ensuring that coding is correct, healthcare organizations can optimize their revenue streams and avoid revenue loss associated with incorrect billing practices.

However, increasing documentation requirements for coding is not a goal of a coding compliance program. Instead, a well-structured compliance program seeks to streamline processes and ensure that documentation supports the coding performed without adding unnecessary complexity. The focus is on ensuring that existing documentation practices are sufficient to support accurate coding rather than arbitrarily increasing documentation burdens.

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