Part B Insider (Multispecialty) Coding Alert
In other news ...
• A California cancer specialist was charged last week with billing Medicare and other insurers for up to $1 million in charges for injectible cancer medications that he never provided. According to an April 15 Dept. of Justice news release, the Orange County-based doctor billed for some meds that he didn't inject, while he upcoded for other drugs that he did inject, telling Medicare that he injected a more expensive drug than he actually provided in some cases. The DOJ indicates that the physician's staff had advised him that he was billing improperly, but notes that he continued to bill fraudulently for a total of five years. The physician pled guilty to five counts of healthcare fraud under a plea agreement.
Part B Insider (Multispecialty) Coding Alert
- E/M CODING:
Don't Bill High-Level E/M Codes Until You Read This
Sicker patients may not always mean higher MDM. If your physician bills a lot of [...] - ACRONYMS QUIZ:
Nail Your Acronym Deciphering Skills to Code Claims Accurately
Know the universal acronyms, then keep an eye out for regional acronyms as well. Do [...] - AUDITS:
Take These Steps if You Find Out You'll Soon Be Paid a Visit From an Auditor
Prepare your compliance plan before an auditor strikes if you can -- but don't panic if [...] - ACRONYM QUIZ ANSWERS:
Can You Decipher the Acronyms In Our Quiz? See How You Fared With These Solutions
Hint: When in doubt, check with the practitioners rather than guessing. For most coders, not [...] - READER QUESTION:
E Codes Help Define Cause of Injury
Also: Keep incident-to rules in mind when NPP performs the service. Question: A 68-year-old established [...] - PHYSICIAN NOTES:
Even Non-Insulin Dependent Diabetics May Qualify for Blood Glucose Testing Equipment Coverage
Plus: OIG alleges that a California oncologist fraudulently billed Medicare and other payers for up [...] - In other news ...
• A California cancer specialist was charged last week with billing Medicare and other insurers [...]
