tci Medicare Compliance & Reimbursement - 2010 Issue 4

PHYSICIAN PRACTICE: Risk Managers to Physicians: 3 Strategies Keep Your Practice in the Safety Zone

Look for these legit reasons to explain an outlier practice pattern. Government agencies and auditors are on a roll in pursuing what they view to be inappropriate healthcare utilization. And that means physicians and physician practice groups might be wise to give their practice patterns a check-up. Physicians should understand how their practices "relate to the prevailing standard of care in their geographic location and nationally," advises attorney Jason Caron, with Epstein, Becker & Green in Washington, D.C. Making that effort isn't important just for the sake of federal compliance, he adds. It "relates to a...

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