mullman
New
I'm hoping somebody can lead me in the right direction. I'm looking for documentation from CMS or OIG or somewhere talking about fraud/abuse from the standpoint of NOT billing for all services provided and documented. I know that this is also not okay, just cannot find anything to back me up. For instance, seeing a patient for an OV and preforming a small procedure that the provider doesn't feel is justified billing out separately. What are the rules? What are the guidelines? Everything talks about upcoding and billing for services not preformed. I cannot find anything about omitting services preformed. Help??!! Thank you!