Pay-per-view: Know critical care billing, documentation requirements
HIM Connection, February 19, 2008
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Physicians who take chances by skirting ethics to increase their revenue risk massive financial penalties and the possibility of losing their freedom, says Robert S. Gold, MD.
One Philadelphia hospital group was forced to pay $30 million in fines for fraudulent billing.
New Jersey's Blue Cross and Blue Shield recovered more than $10 million from physicians who billed for procedures with inappropriate codes or without ever having performed the stated procedure.
Editor's note: To read more about the consequences of fraudulent reporting and overcoding, visit http://www.hcpro.com/content/205689.cfm. You can purchase a copy of this article for $10. Subscribers to Medical Records Briefing have access to the article in the March 2008 issue.
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