Compliance: Will You Be the Next Target for Repayments?

Article Overview

This article reviews Medicare compliance findings from CMS and government auditors related to end-stage renal disease services and transcatheter aortic valve replacement/implantation claims. It is useful for coders, billing staff, compliance teams, and providers who want to understand the kinds of documentation and claim-review issues that have drawn audit attention and repayment risk. The discussion focuses on the general categories of errors identified in the audit findings and the types of services involved.