Corporate Compliance

Pay-per-view: Precertification presents anti-kickback problems

Compliance Monitor, September 19, 2007

More and more insurers require that physicians obtain precertification, or preauthorization, for costly imaging procedures. This added requirement puts paperwork pressure on referring physicians and leaves the financial bite of noncompliance on radiology departments and imaging facilities that suffer from denied claims. Under this scenario, both sides lose.

To find out more, order the pay-per-view article Precertification presents anti-kickback problems. The cost is $10. Subscribers to the online version of Strategies for Health Care Compliance have free access to this article. Subscribers to the print edition can find it in their most recent issue.

You can read this article and much more in Strategies for Health Care Compliance. Read tips on HIPAA, as well as compliance and auditing strategies.

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