tci Part B Insider - 2019 Issue Q3

Compliance: Understand How Fraud and Abuse Are Different

Hint: ‘Gang visits’ aren’t what you think. You may think that CMS is easing up on compliance with its policy rollback renaissance over the last year. But federal enforcement activity indicates that Medicare fraudsters and abusers remain hot targets — and that’s why you need to know the essentials to stay compliant. What Constitutes Medicare Fraud? Though we often throw fraud and abuse into the same category, they are different. “Fraud occurs when someone intentionally falsifies information in an effort to deceive Medicare,” explains Gail O’Leary, consultant with Part B Medicare Administrative Contractor...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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