HC Compliance Essentials

Audit Hot Spot: When HCPCS Coding Confusion Leads to Overpayments

Here’s where your electronic billing system may be grabbing overpayments by mistake. At first glance, they don’t look like much — two recent OIG reports, one examining oxaliplatin billing from a Seattle facility, and

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Overpayments: What Are My Compliance Obligations?

Can insurers deduct overpayments from your checks? Find out here. Question: Some insurers are deducting overpayments from our checks for visits or services rendered. Are payers allowed to do this, and do we really have to pay back overpayments? Answer:…

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Whistleblower Watch: New Law Toughens False Claims Act

What looked like a law that cracks down on mortgage and financial fraud packs a punch to health care reimbursement. If you’ve watched the news over the summer, you’re aware that President Obama signed the Federal Enforcement and Recovery Act (FERA) of…

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