decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Home Health Agencies / 1992 Fraud Alert
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Article Overview
This article reviews a fraud alert focused on billing practices associated with home health agencies and physician-related services in the home setting. It explains the general nature of the concern, the roles of the organizations involved, and why this issue is relevant to compliance, audit, and reimbursement oversight in home health care.
Why This Topic Matters
It helps compliance staff, auditors, and home health revenue cycle professionals recognize a historical fraud risk area involving service billing and claims submission practices in the home health environment.
What You Will Learn
- The general compliance issue highlighted by the fraud alert
- How the concern relates to home health agency billing practices
- Which organizations and payer-side parties were involved in bringing attention to the issue
- Why this type of alert matters for audit and fraud prevention work
Who Should Read This
- Compliance officers
- Medical coders
- Billing specialists
- Home health agency administrators
- Auditors
- Revenue cycle staff
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