decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Physician Practice Model Compliance Plan / Specific Risk Areas / Additional Risk Areas / Physician Liability for Certifications
Subscribe or sign in to view the full article.
Article Overview
This premium article reviews an OIG Special Fraud Alert addressing physician certifications used in connection with Medicare items and services. It explains why these certifications matter, the compliance risks that can arise when they are incomplete or inaccurate, and the general areas of concern for physicians and suppliers involved in certification-based billing. The discussion is aimed at physicians, compliance staff, and coding or billing professionals who need to understand the broad program integrity issues surrounding certifications, orders, prescriptions, and related documentation.
Why This Topic Matters
Physician certifications can affect Medicare payment and program integrity, so understanding the compliance issues highlighted by OIG helps organizations reduce risk and maintain accurate documentation practices.
What You Will Learn
- Why physician certifications are important in Medicare payment policy
- What types of documentation may serve as certifications
- Which broad service areas are highlighted as vulnerable to abuse
- What kinds of compliance risks are associated with inaccurate or incomplete certifications
- Why careful review of certification forms is important before signature
Who Should Read This
- Physicians
- Compliance officers
- Medical coders
- Billing staff
- Durable medical equipment suppliers
- Home health providers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com