ethical issues

  1. R

    Wiki Guidance

    I am being asked to bill out one way to commercial insurances and then another to Medicare/Medicaid patients. I am under the impression that is not compliant..... example would be that the pt is having pain injections and has commercial insurance, they want me to just bill for the injection and...
  2. A

    Wiki Small Doctor's office wants to recommend insurance policy to patients

    So, like the title says, the issue I am facing is that the doctor who own this office wants to get Patients to switch insurance. My assumption is that we are legally not allowed to do something like that. Ethically it seems clearly wrong. Apparently the Doctor is trying to avoid having to switch...
  3. D

    Wiki Potential Ethical Issue Medicare Risk Adjustment

    :confused:I am a Medicare Risk Adjustment Coder. We review medical records for diagnosis codes. Presently, I am performing quality assurance reviews on my co-workers code choices. If I reject their choices, the records go to my supervisor for a 3rd review. When this process is completed, the...
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