tci ED Coding & Reimbursement Alert - 2019 Issue 5

Compliance: 3 Recent Cases Reveal ED Fraud Vulnerabilities

Scrutinize your compliance program to avoid such issues. As healthcare auditors increasingly add new issues to their review lists, emergency departments have remained vigilant, buttoning 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 issues that were brought to light over the past few months which can help you determine what not to do if you’d like to avoid fraud. 1. Performing Procedures Outside Scope of Practice A North Carolina emergency physician was under scrutiny by the state...

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