Industry Note:
Rampant E/M Overbilling Prompts Violations and Millions in Fines
Published on Thu May 05, 2016
The Department of Justice (DOJ) continues to crack down on fraudulent E/M claims. The law clearly states that “providers are not permitted to bill both E/M services and a procedure on the same day under the Medicare program’s regulations unless a significant, separately identifiable service has been performed.” But in one recent case, a group of Georgia dermatologists repeatedly “upcoded [...]