Compliance:
Will Your Billing Record Pass Muster On These 6 Factors?
Published on Fri Dec 05, 2014
New providers will be at a disadvantage. Medicare will use these six factors to decide whether you get to keep your billing privileges, if it suspects you of “patterns or practices of abusive billing,” according to a new anti-fraud rule : (A) The percentage of submitted claims that were denied.
(B) The reason(s) for the claim denials.
(C) [...]