DecisionHealth, DecisionHealth - 2014 Issue 3 (March)

Compliance: Verify coding advice from device companies or risk upcoding, fines

The government recently gave practices a sobering reminder that coding based on advice from device manufacturers can be risky business. In an unusual case, the Justice Department settled with one such manufacturer, San Mateo, Calif.-based EndoGastric Solutions Inc. (EGS), alleging that the company violated the federal False Claims Act by dispensing incorrect coding guidance.

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