tci Medicare Compliance & Reimbursement - 2024 Issue Q3

Compliance: Review This False Claims Act Case, Learn How to Avoid Big Fines

Strengthen your understanding of MDM guidelines. As you may know, the Department of Justice (DOJ) and the Office of Inspector General (OIG) are constantly involved in investigations relating to healthcare fraud and abuse. In his 2024 HEALTHCON presentation, “False Claims Act Case Involving the New MDM E/M Guidelines,” CJ Wolf, MD, M.Ed., CPC, CPC-I, COC, educator and compliance executive in Salt Lake City, explained what may be the first False Claims Act case involving the 2021 medical decision making (MDM) guidelines. If your practice could use some expert insight into this case, keep reading, because Wolf...

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