tci Part B Insider - 2006 Issue 8

PODIATRY: Face The Routine Foot Care Music With This Advice

Why fraudulent diagnosis codes landed a podiatrist a 33-month prison sentenceSame-day evaluation and management (E/M) services and routine foot care (RFC) often present Medicare coding troubles for podiatrist practices, but treading carefully when applying modifier 25, and knowing your RFC how-to's can save you reimbursement headaches. Here's why.True story: A podiatrist's office billed same-day office visits and surgical procedures when two separate services weren't rendered. The podiatrist also tried to pull a fast one on Medicare by billing for 16 ingrown toenail surgeries that were found to be routine foot care services. The podiatrist "listed fraudulent diagnosis codes...

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