tci Medicare Compliance & Reimbursement - 2003 Issue 18

Physicians: PHYSICIANS STILL FACE TEACHING HOSPITAL COMPLIANCE WOES

Physician presence rules in the teaching hospital setting are among the oldest compliance hot buttons around, but the feds haven't let up on investigating claims that sometimes go back a decade or more. Billing rules for care provided in academic medical centers were at the heart of the notorious Physicians at Teaching Hospitals initiative, in which hospitals across the country coughed up millions of dollars - indeed, sometimes tens of millions -in high-profile settlements. Those investigations involved the complicated billing rules that apply to teaching physicians and residents, and the extent to which faculty docs need to be physically...

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