tci Medicare Compliance & Reimbursement - 2014 Issue 13

Compliance: Big Brother is Watching for Fraud and Abuse

$9.1 million record recovery by SMP gives you more reason to be wary. Not every person checking for fraud is a government entity. Watch out: Your very own Medicare patients, who are eligible to join the Senior Medicare Patrol (SMP), could be looking for patterns that might constitute fraudulent billing or coding trends. SMP is a group of over 5,400 volunteers who are trained to detect fraud, waste, and abuse in the Medicare system. The members of the Patrol also teach other seniors how to recognize fraud and abuse, and how to protect their identities and avoid...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.