Physician Coding and Billing Cases Gone Badly

C.J. Wolf, Faculty, BYUI.

2022-03-30

  • Coding and billing modifiers often bypass payor edits; discuss cases where this led to problems

  • Tainted claims from violations of the Anti-Kickback Statute: Where do physicians make missteps?

  • Upcoding still occurs in physician practices; explore cases where upcoding resulted in enforcement

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