Part B Insider (Multispecialty) Coding Alert
Steer Clear Of Keeping Payers In The Dark
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Biller faces fraud charges for allegedly skewing the facts on claims Fraud fighters keep cracking down on practices that use deceptive medical claims to get paid. Billing supervisor Susan Cousino was charged with healthcare fraud April 29 for allegedly approving $4.9 million in false claims. Between 1997 and 2000, Cousino, who worked for the former MedBack clinics of northwest Ohio, purportedly told clinic clerks to conceal from Medicare and other payers that MedBack employed chiropractors. U.S. Attorney Gregory White said that claims for non-covered chiropractic services provided by staff chiropractors were routinely characterized on claims as medicine services. Clinic workers often appealed payment denials in letters to insurers that stated that MedBack did not employ chiropractors.
Part B Insider (Multispecialty) Coding Alert
- EVALUATION & MANAGEMENT:
No E/M Coding Changes Until 2006
Clinical examples are too subjective to please CMS auditors Don't throw away your calculator yet. [...] - PRESCRIPTIONS:
Beware Of Compliance Hurdles In Brave New E-Scrip World
The Medicare Modernization Act calls for the Centers for Medicare & Medicaid Services to encourage [...] - BEWARE OUT-OF-STATE PRESCRIPTIONS
Beware of writing a prescription for a patient living in another state, especially if you're [...] - DIAGNOSIS CODES:
Use New Decubitus Ulcer ICD-9 Codes For 15999 Claims
At last,a way to explain ulcers that aren't bed sores Billing for excision of decubitus [...] - HIGH-END BILLING PUTS YOUR MEDICAL RECORDS ON THE LINE
Feds see through alleged cover-up at KY clinic If your billing patterns stick out from [...] - MODIFIERS:
Don't Throw Away E/M Reimbursement On Last-Minute Decisions
Follow these guidelines to get paid for -57 modifier Surgeons are throwing away reimbursement for [...] - Steer Clear Of Keeping Payers In The Dark
Biller faces fraud charges for allegedly skewing the facts on claims Fraud fighters keep cracking [...] - MODIFIERS:
Consider Using Time-Based Billing For E/M Visits With Modifier -57
Remember the 50-percent rule and you'll come out ahead. An evaluation and management visit in [...] - Part B Coding Coach:
Want To Make $43 More Per E/M Visit?
4 steps help you avoid unnecessary downcoding If you underestimate your physician's medical decision-making, you [...] - PHYSICIAN NOTES:
Non-Compliant CMNs Place You At Risk
Latest physician-supplier scam allegedly billed Medicare $3.7 million Before you sign a certificate of medical [...]