General Surgery Coding Alert - 2017 Issue 11
Physician Notes: Upcoding and False Claims Continue to Garner Big Penalties from the OIG
Subscribe or sign in to view the full article.
Article Overview
This article is for physicians, coders, compliance staff, and practice administrators who follow Medicare program integrity and physician payment reporting. It discusses a DOJ enforcement case tied to billing and claim issues, along with CMS guidance on reviewing annual QRURs and the timing of the informal review process. The piece is relevant to readers monitoring compliance risk, Medicare payment programs, and CMS reporting updates.
Why This Topic Matters
It highlights how billing and claims problems can trigger significant enforcement actions and reminds practices about a CMS reporting review window that may affect Medicare payment adjustments.
What You Will Learn
- How a physician fraud case was described in relation to Medicare billing and claims issues.
- What CMS announced about the QRUR review period and informal review access.
- Which Medicare payment program changes were mentioned in connection with QRUR data.
- What types of compliance and reporting topics the article connects.
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Compliance officers
- Practice managers
- Healthcare administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com