Part B Insider (Multispecialty) Coding Alert

Published on Wed Aug 08, 2012 PDF

You'll have more eyes looking over your claims for fraud, thanks to a new partnership between the Department of Health and Human Services and the insurance industry. The coalition includes 10 insurance plans (including Humana, some Blues plans, UnitedHealth, and more), industry groups, and government and law enforcement agencies, HHS says in a release. "The new partnership is designed to share information and best practices in order to improve detection and prevent payment of fraudulent health care billings," HHS says. "Its goal is to reveal and halt scams that cut across a number of public and private payers."

Providers remain wary of the sharing of their billing data under this project, experts say.