tci Medicare Compliance & Reimbursement - 2009 Issue 22

COMPLIANCE: Spot Potential Fraud On Your Provider's Claims? Check Documentation, Then Contact Provider

Examine claims for odd activity, experts say. With compliance in the spotlight, many coders are on high alert. Read on for solid advice on what to do if you encounter a questionable claim. President Obama has made it a priority to curtail Medicare fraud, and major media outlets including 60 Minutes have recently profiled this growing problem. The increased attention on staying compliant has caused medical coders across the country to check and double-check their physicians' documentation to detect issues.How Can You Recognize Fraud? The Office of Inspector General (OIG) has issued scores of documents that profile the...

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