Diabetes Practice Options: Avoid Simple Mistakes When Coding to Avoid Fraud Investigations
AAPC member Jennifer de Zayas, CPC, CPC-H recently wrote an article for Diabetes Practice Options relating to coding mistakes and fraud.
“Some perfectly legitimate physicians are audited when they forget to include, or don’t know about, a particular form, or incorrectly register a business,” she wrote. “Payers might interpret these types of mistakes as fraud, because less scrupulous offices may do these same things deliberately. Providers need to know the insurance rules of the state in which they practice, including the rules governing the formation of corporations, and how to avoid being pigeonholed by overusing the same group of medical codes.”
Read the excerpt of the full article here.