decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Diagnostic Tests / Fraud Alerts / Inappropriate diagnostic testing
Subscribe or sign in to view the full article.
Article Overview
This article discusses a Medicare fraud alert involving inappropriate diagnostic testing billed by group practices in the New York metropolitan area. It is useful for coders, compliance staff, auditors, and medical practices that want to understand the general types of diagnostic and evaluation services mentioned in the alert and the broader billing context involved.
Why This Topic Matters
It highlights how diagnostic testing claims, office visits, and consultation services can appear in fraud-related billing patterns, making it relevant for compliance review and audit awareness.
Article Sections
-
Inappropriate diagnostic testing
Overview of the fraud alert, the setting in which the billing activity was identified, and the general nature of the services involved.
What You Will Learn
- The overall focus of the fraud alert and why the article was issued.
- Which broad categories of diagnostic and evaluation services are discussed.
- The medical specialties and practice settings associated with the billed services.
- How the article frames the issue as a Medicare billing and compliance concern.
Who Should Read This
- Medical coders
- Coding auditors
- Compliance officers
- Physician practice managers
- Billing staff
- Health care fraud investigators
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com