tci Medicare Compliance & Reimbursement - 2014 Issue 21

Compliance: Stay on the Right Side of Your Next Audit with These 3 Lessons

Hint: Most Medicaid audits don’t result in a physician being hauled off to prison. If your practice is billing, coding and documenting correctly, then you really have nothing to fear from audits. But recent results the State of New York published found several practices owing the state money. Read on to see what the auditors discovered, and how you can avoid the same issues. 1. Billed amounts exceeded global fees in the outpatient clinic. The auditors in one case noted that, “When a Medicaid eligible patient is seen in a hospital outpatient clinic, the attending physician must...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.

Thank you for choosing Find-A-Code, please Sign In to remove ads.