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Medicare Compliance & Reimbursement

Compliance:

Get the 'Rest of the Story' About 5 Common Compliance Beliefs

Published on Fri Jul 23, 2010

True or false? Being unaware of accidental overpayments can't invoke false claims liability. Compliance myths and misperceptions can cause you to take the wrong action or miss the risk-management boat. And some beliefs include a mixture of truth and fiction, which really gets murky. Below, experts set the record straight about a number of prevailing notions. 1. The "attorney or coder or consultant told me it was OK" provides a solid defense. "The reality is that as a provider, it's your practice and you send the bill and are responsible for it," cautions attorney Michael Cassidy, in private practice in Pittsburgh, Pa. But a provider that can show it attempted to comply could defeat an allegation of criminal intent in a government prosecution, he adds. Obtain this in good faith: The government is going to have a very hard time proving criminal intent if you have a written opinion from [...]
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