decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Boutique Practices / Concierge care_Fraud risks persist
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Article Overview
This article explains how federal oversight bodies have evaluated concierge care, including concerns about beneficiary access, double billing, and potential false claims issues. It is relevant to physicians, compliance professionals, and billing staff who need to understand the general fraud-risk landscape surrounding concierge or boutique practice models and the agency reports and alerts that shaped the discussion.
Why This Topic Matters
Concierge and boutique practice arrangements can raise compliance questions for physicians and their staff, especially when patient fees are layered alongside Medicare billing. Understanding the government’s concerns helps practices evaluate risk and stay attentive to fraud and billing oversight issues.
What You Will Learn
- How federal agencies have viewed concierge care arrangements
- What general fraud and billing concerns were associated with concierge practice models
- Why beneficiary access was discussed in relation to concierge care
- Which oversight bodies and reports are referenced in the discussion
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing and compliance staff
- Healthcare attorneys
- Revenue cycle professionals
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