Jared Petersen

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Why You Need Internal Coding Audits

Posted by Jared Petersen on Oct 19, 2018 9:53:00 AM

Fraud. Scary word, right? Well it happens a lot, and if you are not careful it might be happening at your practice right now. “Get a free scooter!” You may remember those words uttered on a commercial that ran continuously a few years back. In August of 2014, the Washington Post broke a story on how the government paid billions of dollars for Medicare recipients to get a free motorized wheelchair. The perpetrators of this scam were intentionally defrauding the government by using loopholes to make huge profits on markups for these chairs.

The wheelchair scam example is an outlier, but it is what most people think about when the topic of fraud is brought to the forefront, but that is just one high profile case. There are many instances of unintentional errors that can occur due to lack of understanding of the many regulations and nuances of medical billing. Consider auditing your providers for compliance and finding opportunities for improvement.

Here are 4 reasons why:

 

 

1. Billing Mistakes: still the provider's problem

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Topics: Medical Coding Services, medical audits, ICD-10, medical coding, Medical Coding Compliance, HCC Coding