Practice Management Alert

Reader Questions:

Always Keep Audits in Mind

Question: Can a physician pick and choose what to bill?

Maine Subscriber

Answer: Without more information, it’s hard to reply with specifics, but a good general rule: One should follow the specific regulations for coding and billing practices and look to guidelines when making the nitty-gritty code selections. An auditor would almost certainly notice inconsistencies in a provider’s services when reviewing coding and billing documentation. Any provider doing this could become the subject of an investigation into fraudulent practices.

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