Giving voice to victims of Family Health Centers of San Diego



Employee describes fradulent practice of "upcoding" at FHCSD

 

An employee of Family Health Centers of San Diego who was certified as a medical coder has made a disturbing allegation we have heard before - that FHCSD encourages "upcoding" for routine visits.   Specifically, this employee, who left the organization late last year, says the pressure to upcode is most intense at the E/M (evaluation and management) level which prevents anyone from seeing the "larger picture".   If true, this should be investigated immediately -- manipulation of data like this is toxic and corrupting for any organization, and it is possible it has been going on for a long time at FHCSD.    This employee also described incompetent management and obvious favoritism. 



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