Coding component important element of compliance plan.
In recent years the U.S. government has increased its fraud and abuse investigations in all sectors of the healthcare community. Healthcare providers that are successfully prosecuted may be excluded from the Medicare programs and are liable for monetary penalties. The best course of action is for providers to have a comprehensive compliance plan in place. An important element of such a plan is a component that will identify and address problematic coding issues.
Whitehead
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Prospective Payment Specialists, Torrance, CA, USA.
Salcido
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D000043:Abstracting and Indexing / Q000592:standards*; D005607:Fraud / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D007344:Insurance Claim Reporting / Q000592:standards*; D008499:Medical Records / Q000145:classification*; D006278:Medicare / Q000331:legislation & jurisprudence; D010350:Patient Credit and Collection / Q000592:standards; D014481:United States