The below articles are all published in BC advantage
Magazine and written and contributed by Sonal
Patel BA, CPMA, CPC, CMC, ICDCM
Sonal Patel BA, CPMA, CPC, CMC, ICDCM CEO & Principal Strategist
at SP Collaborative
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Monthly Spotlight on Fraud, Waste, and Abuse
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.
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Read
Monthly Spotlight on Fraud, Waste, and Abuse
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.
...
Read
Modifier -25: Interpretation Is In The Eye of the Beholder
Fresh insights from the American Medical Association (AMA) are always welcome when it comes to medical coding policy. Although they have provided previous guidance on the appropriate use of modifier -25, the AMA's
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Monthly Spotlight on Fraud, Waste, and Abuse
Early November saw a case involving the owner of a marketing company located in India who admitted his role in conspiracies to commit healthcare fraud and to pay and receive illegal kickbacks.
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Monthly Spotlight on Fraud, Waste, and Abuse
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.
...
Read
Time Changes for 2024
Beginning January 1, 2024, providers utilizing time for leveling an office and/or outpatient Evaluation and Management (E/M) service must meet or exceed the minimum threshold total service time. This change for 2024 better aligns with time ...
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Monthly Spotlight on Fraud, Waste, and Abuse
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.
...
Read
Monthly Spotlight on Fraud, Waste, and Abuse
A physician was sentenced to two and a half years in prison for fraudulently obtaining and misappropriating approximately $250,000 from two separate COVID-19 relief programs....
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Monthly Spotlight on Fraud, Waste, and Abuse
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services. ...
Read
Spotlight on Fraud, Waste, and Abuse - March 2023
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.
...
Read