For example, an outpatient coder does not assign codes to qualified diagnoses, which are preceded by words such as likely, possible, probably, and rule out. Coding guidelines and other resources and references are the keys to a coders success. When Tammy first began coding on the job, she paid attention to every detail in the patient records and carefully followed coding guidelines. Tammys coding department eventually was under a lot of pressure to code high volumes of records. To increase her productivity, Tammy decided that she would code all outpatient diagnoses and procedures/services documented on the first page of each outpatient encounters patient record.

What is a possible result of Tammy adopting the practice of assigning codes to all diagnoses and procedures/services documented on the first page of each output