Physician Notes: Watch Your ASP Coding

Why This Topic Matters

The article highlights how coding and documentation errors can trigger audits, repayment demands, or enforcement actions. It is useful for practices that bill office-based procedures, diagnostic testing, and evaluation services under Medicare or Medicaid.

Article Sections

1. The feds are watching place-of-service codes

   Discussion of federal audit concerns involving office-based ambulatory surgical procedures and place-of-service reporting. The section focuses on reimbursement scrutiny, overpayment risk, and compliance attention from oversight agencies.

2. Diagnostic test billing under investigation

   Summary of a fraud case involving billing for advanced imaging and electrodiagnostic services. The section describes allegations, investigative activity, and broader enforcement concerns.

3. Documentation support for office visit billing

   Brief report on repayment issues tied to insufficient documentation for billed office visits. The section centers on record support and the use of progress notes in billing review.