Medicare Therapy Fraud – How to Combat Physical Therapy and Occupational Therapy False Claims
Physical therapy is the treatment of functional limitations to prevent the onset or to retard the progression of physical impairments following illness or injury. Medicare pays for physical therapy in at least two contexts.
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EM Coding – Do Not Bill High Level E&M Codes Before Reading This
Sicker patients do not always mean higher MDM. If your physician bills a lot of high-level office visits, he may be in danger of an audit, which may not be a cause of worry if his documentation justifies his code choices. “Some doctors think that their patients are sicker than others’; as such they feel they are justified using more 99215s, when in fact that may not be the case,” according to Crystal S.
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Red Flags Rule – Facts For Physicians
Since the Federal Trade Commission (FTC) first issued the set of regulations referred to as “Red Flags Rule” in November 2007, there has been a controversy regarding application of the Rule to physicians and medical billing services. At the end of May 2010, the American Medical Association successfully obtained yet another delay from the FTC regarding the Red Flags Rule until December 31, 2010. The AMA continues to work to convince the FTC that physicians should be exempt from the rule.
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