decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Fraud and Abuse / Specific risk areas
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Article Overview
This article discusses broad compliance risk areas that can affect physician practices and explains why they matter for internal assessment and prevention efforts. It is intended for physicians, practice managers, coders, and compliance staff who want a high-level understanding of fraud-and-abuse vulnerabilities and pointers to OIG resources for further review.
Why This Topic Matters
Understanding common fraud-and-abuse risk areas helps physician practices focus internal compliance efforts, strengthen documentation and billing oversight, and reduce exposure to program integrity problems.
What You Will Learn
- The main categories of fraud-and-abuse risk areas highlighted for physician practices
- Why internal assessment of practice vulnerabilities is important
- How OIG resources can be used to identify broader program integrity concerns
- The general purpose of reviewing compliance risk areas over time
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Compliance officers
- Billing staff
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