E/M Coding Alert - 2012 Issue 31
Physician Note: Selling Your Practice? Check in on New Owner Afterward
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Article Overview
This brief article discusses a fraud-related physician practice sale scenario and the compliance risks that can arise when billing credentials or identifiers are not fully separated after ownership changes. It is relevant to physicians, practice owners, compliance staff, and billing professionals who want a high-level awareness of post-transition Medicare and Medicaid billing issues and related Department of Justice enforcement activity.
Why This Topic Matters
Practice sales can create lingering billing and identity risks if credentials, identifiers, or billing access are not properly controlled. The article highlights why ongoing monitoring matters for protecting against unauthorized claims and associated legal exposure.
What You Will Learn
- Why practice-transition oversight matters after a sale
- How unauthorized billing activity can create compliance and legal risk
- Why physicians and practice administrators should monitor billing activity after ownership changes
- The role of enforcement actions in identifying billing fraud concerns
Who Should Read This
- Physicians
- Medical practice owners
- Practice administrators
- Medical billing professionals
- Compliance officers
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