tci ED Coding & Reimbursement Alert - 2017 Issue 9

Compliance: 3 Recent Cases Show ED Fraud Vulnerabilities

Make sure your compliance plan is ironclad to avoid these issues. Health care auditors are increasing their reviews of medical practices nationwide, prompting emergency departments to remain vigilant and button up their documentation and recordkeeping. If you’d like some insight into the types of cases being prosecuted in this specialty, we’ve got the details of three ED-specific cases that were brought to light over the past few years which can help you determine what not to do if you’d like to avoid fraud. 1. Medically Unnecessary Admissions from the ED A California-based physician is being accused...

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