Αποτελέσματα Αναζήτησης
18 Σεπ 2023 · Government and private insurers’ audits have revealed unfortunate cases of fraudulent or abusive medical billing practices. You deserve to be paid for the medical care you provide, but it is essential that you avoid improper billing practices to steer clear of trouble and maintain a flourishing practice.
26 Φεβ 2020 · In urging the court to overturn the decision, the AMA Litigation Center brief points out four errors in that passage, including that the defendants could not legitimately select a CPT code, that they are not providers like a physician or hospital, and that Aetna member Peters was asked to pay $14.18 for the charge.
13 Σεπ 2018 · The AMA has a number of resources to help you accurately report procedures and services with Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System codes, and avoid these improper claim types.
10 Μαΐ 2024 · A federal jury convicted a Michigan doctor today for causing the submission of over $6.3 million in fraudulent claims to Medicare for medically unnecessary orthotic braces ordered through a telemarketing scheme.
Here, we discuss types of health care fraud and their impact on health care costs and patient safety, how this behavior is incentivized and justified within current and evolving medical practice settings, and a 2-pronged strategy for mitigating this behavior.
3 Ιουν 2020 · One of the most common situations that may amount to insurance fraud typically revolves around the process of billing incorrect CPT codes. CPT codes are the service codes that you utilize to tell an insurance provider what and who was involved in a treatment, as well as the duration of the treatment and the type of service that was rendered.
Inappropriately Billing CPT 97140 in Place of CMT: Billing for multiple time-based codes such as several manual therapies (CPT 97140), when a CMT was the only service performed, is inappropriate. You cannot replace a CMT CPT code with another CPT code if the CMT was the actual service performed.
