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Group Practice

  1. #1
    Default Group Practice
    Medical Coding Books
    Okay, if there are 10 doctors in a practice and they are all Medicare credentialed. But, 1 doctor is constantly billing incorrectly - if he is audited and Medicare decides to take money back, is the provider being audited the only one liable or will it affect the entire practice?

  2. #2
    I would imagine a Medicare audit would affect the entire practice if all the doctors are linked by one tax identification number, but I don't know where you would find that in writing. Maybe check CMS' website...

  3. #3
    If the physician is part of a group, then Medicare payments go to the group. So, if there is an audit and a problem is found, the group would be responsible to repay.
    Amy Crego, CPC, CPC-P, CPMA, CRC
    Vice President, Columbus, OH AAPC

    One can never consent to creep when one feels an impulse to soar. ~ Helen Keller

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