The Medicare program is stepping up efforts to reduce losses due to improper billing and coding practices. Protect your practice from this increased scrutiny of Medicare overpayments, abuse, and fraud with this very up to date reference guide.
This focuses on the top compliance risks facing practices from OIG, RAC, CERT, and other reviews.
- Understand what the investigators (RACs, OIG, MACs) are looking for. Provides easy-to-understand examples of errors and non-compliance.
- Shows which billing or coding practices are contributing to the error. Includes a discussion of what the agency is expecting to find, such as coding errors, inappropriate business relations, Stark violations, and balance billing violations.
- Strategies for assessing risk. Gives physician practices the techniques, formulas and benchmarks to determine their risk and estimate potential liability.
- Get guidance on identifying the work flow processes that are contributing to compliance errors and omissions.
- Learn how to reduce or eliminate problems by establishing coding policies, educating staff, reviewing billing policies, or seeking legal assistance in renegotiating contracts and other business relationships.
- Appendix includes OIG Compliance Program for individual and small group physician practice
- Receive quarterly summaries of events and changes to Medicare's compliance initiatives. Any reports, advisories or other notices that are released by the OIG, GAO, or contractors will also be included in these updates.
Additional Info
| SKU | E434 |
|---|---|
| Author | Ingenix |
