Is Your Billing Practice Scam?

Most of our clients would obviously say ‘no’, however, some providers missubmit invoices and can incur hefty fines.

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Recently, a Florida Cardiology group and 10 of its doctors agreed to pay $2 million to settle allegations of the False Claims Act.

According to the settlement, the group filed inflated claims with Medicare and Medicaid and billed for services while they were outside the United States.

Whistleblowers were involved in exposing this scheme.

Even if your health care practice may not be too bold in breaches, it serves as a good reminder to do regular internal audits and review your bills.

Many of our practices think their bills are perfect, however, there are often problems when we audit their bills.

Obviously, it’s important to make sure that you’re not upcoding. It’s also important to make sure you don’t belittle or provide the wrong service.

It’s always important to remember, if it’s not on the charts, it’s not happening – as far as billing is concerned.

Make sure your policies and procedures are up to date and your compliance plan is active.

Your employees need to be trained regularly and know what to do to report their concerns internally.

If employees do not feel that their concerns are being taken seriously, it is time for them to become whistleblowers.

It is important to reassess your Electronic Medical Record template regularly, to ensure that it is not causing problems with your patient records.

We assist our clients to update their compliance plans, audit and mitigate potential issues and train staff to ensure that they are not violating any federal laws.

If you have questions or need assistance with your health care practice, employee training, or security, contact Rickard & Associates today.

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