DecisionHealth, DecisionHealth - 2024 Issue 11 (November)

Third-party biller fraud may hook your practice, unless you protect yourself

Question: I recently read about a third-party biller who was charged with health care fraud and eventually entered a plea agreement — but the practice he worked for was not charged. I thought fraudulent medical billings were always the responsibility of the provider whose services were billed. Is it possible for a biller to be guilty but not the provider?

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