Fixing past mistakes. Answers to questions about reviews, refunds, disclosures.
A medical group must address practical and legal issues when it discovers improper payments, billing mistakes or alleged misconduct. Its response has a significant impact on how the charges are resolved. A group and its providers can come under fraud and abuse investigations, whistle-blower allegations and Medicare payment reviews. Many questions arise in response to billing errors or allegations of misconduct.
Fitzgerald
T Jeffrey
TJ
Faegre & Benson, LLP, Denver, USA. jfitzgerald@faegre.com
D005375:Financial Audit; D005607:Fraud / Q000331:legislation & jurisprudence*; D006123:Group Practice / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D017408:Guidelines as Topic; D007345:Insurance Claim Review; D007349:Insurance, Health, Reimbursement; D016365:Liability, Legal; D006278:Medicare; D014342:Truth Disclosure; D014481:United States; D035642:Whistleblowing