tci Part B Insider - 2012 Issue 38

Compliance: Know How to React If You See Potential Fraud on Your Providers' Claims

Contact physician before panicking.With compliance in the spotlight, many coders are on high alert. Know what to do if you come The OIG has issued scores of documents that profile the types of fraud that they are investigating. For instance, the agency provided its Oct. 24 webcast to offer information on this subject. (See our cover page for details).For instance: The OIG sentenced a physical therapist to six months of incarceration for work that wasn't performed -- in fact, the PT "submitted claims that would have required working more than 15 hours a day, and often more...

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