Top Coding and Billing Errors to Avoid

September 5, 2023 / admin / Articles, Authorization Failures, Bad Sequencing, Benefits Errors, Billing, Billing Duplicates, Duplicate Coding, EOB Errors, Expired Policy Numbers, Grouping Errors, Insufficient Modifiers, Invalid Linkages, Invalid Place of Service, Missing Codes, Missing Modifiers, Poor Handwriting, Timed Coding Errors, Unbundling

Accuracy in both medical coding and billing processes is imperative for maximizing appropriate reimbursement, maintaining regulatory compliance, and optimizing revenue cycle performance. Even minor errors can have major consequences in delayed or reduced payments, denied claims, and compliance risks. We cover the most common coding and billing mistakes along with best practices to identify where […]

Authorization Failures, Bad Sequencing, Benefits Errors, Billing, Billing Duplicates, Duplicate Coding, Duplication, EOB Errors, Expired Policy Numbers, Grouping Errors, Inaccurate Patient Info, Inaccurate Patient Information, Inadequate Specificity, Incorrect Code Assignments, Incorrect Units, Insufficient Modifiers, Invalid Linkages, Invalid Place of Service, Medical Billing, Missing Codes, Missing Modifiers, Poor Handwriting, Timed Coding Errors, Timeliness Issues, Unbundling, Upcoding

Medicare and Medicaid Fraud: A Growing Problem in the Healthcare Industry

February 2, 2023 / admin / Articles, Billing, Billing Services Not Rendered, Claim Billing, False Certification, Fraud, Healthcare, Healthcare Billing, Kickbacks, Medicaid, Medicaid Fraud, Medical Billing, Medical Claims, Medicare, Medicare Fraud, Phantom Billing, Prescription drug fraud, Supply Fraud, Unlawful Self-Referral, Upcoding, Whistleblower Protection Act

Medicare and Medicaid Fraud is a Massive Healthcare Industry Problem Medicare and Medicaid Fraud Vulnerability The Medicare and Medicaid programs provide crucial support to millions of Americans, offering access to healthcare services for those who may not otherwise be able to afford it. Unfortunately, these programs are also vulnerable to fraud, with criminals exploiting the […]

Billing for Services Not Rendered, Billing Fraud, False certification, Fraud, Kickbacks, Medicaid, Medicaid Fraud, Medical Billing Fraud, Medicare, Medicare Fraud, Phantom billing, Prescription Drug Fraud, Supply fraud, Unlawful self-referral, Upcoding, Whistleblower, Whistleblower Protection Act

Common Examples of Medicare, Medicaid Fraud

May 8, 2021 / admin / Articles, False Claims Act, Fraud, Medicaid, Medicaid Fraud, Medicaid Fraud Examples, Medicare, Medicare Fraud, Medicare Fraud Examples, Phantom Billing, Unbundling, Upcoding

Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It A medical doctor invoiced his patient’s Medicare insurance for both the services he actually delivered and for services that were not delivered. He fabricated his patient’s medical records to indicate office visits and treatments that never took place. A gerontologist obtained the outcomes […]

Billing Fraud, False Claims Act, Fraud, Medicaid, Medicaid Billing, Medicaid Fraud, Medicaid Fraud Examples, Medical Billing Fraud, Medicare, Medicare Billing, Medicare Fraud, Medicare Fraud Examples, Upcoding