E/M Coding Alert - 2019 Issue 12
Industry Note: OIG Warns About Genetic Testing Fraud
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Article Overview
This brief industry note summarizes an HHS Office of Inspector General warning about a Medicare-related fraud scheme involving unsolicited genetic testing solicitations. It explains the general nature of the scam, how beneficiaries may be approached, and the types of patient-facing precautions and reporting guidance practices may want to share.
Why This Topic Matters
Medical practices may receive patient questions about unexpected genetic testing kits or solicitations. Understanding the warning helps staff recognize a potential fraud issue, protect beneficiary information, and direct patients to appropriate reporting resources.
What You Will Learn
- How a Medicare-related genetic testing fraud scheme is being presented to beneficiaries
- Common ways scammers may contact people about genetic testing
- General precautions practices can share with patients to help protect Medicare information
- Where to report suspected genetic testing fraud
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician office staff
- Compliance teams
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