tci Part B Insider - 2013 Issue 15

Physician Note: Texas Doctor Faces Up to 10 Years in Jail for Changing Dx Codes

Plus: Patient insists on service but refuses to sign ABN? Get a witness. Fraudulent medical coding doesn’t always involve CPT or supply codes. You can face hard time for changing diagnoses as well. That’s the lesson that a Texas physician learned this week after being charged with seven counts of health care fraud. Between 2010 and 2013, the general practitioner is alleged to have added, changed, deleted, and incorrectly sequenced diagnosis codes “in a way that did not reflect the actual diagnoses and conditions of the patients,” an April 23 Department of Justice news release...

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