decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 7 (July)
Pain Management Coder Sentenced for Fraud
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Article Overview
This article discusses a fraud case involving a pain management coder and related billing activity in a physician practice. It is relevant to coding, billing, compliance, and health care legal risk, and it provides general commentary on warning signs that may indicate problematic office practices.
Why This Topic Matters
It helps coders, billers, compliance staff, and practice managers understand the legal and professional risks tied to inaccurate billing and refusing to question questionable coding practices.
What You Will Learn
- How a health care fraud case involving coding and billing was handled by the court
- What types of billing and coding practices were cited as problematic
- What general workplace warning signs may indicate compliance risk
- Why coders and billers may need to seek guidance or new employment in risky situations
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Physician practice managers
- Health care attorneys
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