Billing oversights can lead your practice to be booked under the false claims act

1. How To Prevent Your Practice
From Being Booked Under
The False Claims Act in the
Fiscal Year 2013!
Presented by,
Angomark, MedicalBillingSta

2. A quick intro on False Claim?
 There are physicians who end up with
bids for faults they were not even
conscious of.
 To safeguard your medical practice
from false claims you must first be
aware of what establishes a false
claim.

3.  Submitting an unbundled claim when
the claim could have been bundled
and surrender to as a whole.

4.  Up coding a medical service

5.  Billing for medically unnecessary
services

6.  Increasing time units or any units of
services for acquiring more
reimbursement

7.  Submitting secondary claims that have
to be sent to a different insurer, to the
primary insurer.

8.  Inflating patient care costs

9.  Copy pasting records in the EHR can
lead to replication of claims content

10.  Making use of computerized coding
tools and claim edits can lead to
overbilling errors

11. Tips To Safeguard Your Practice
From FCA
 Ensure your claims are,
bundled/unbundled appropriately. If you
are not too sure pick up the phone and
discuss with your insurer.
 Always provide additional records
validating the medical necessity of a
treatment prior to transmitting a claim.

12.  Document facts such as time units,
difficulty of a medical decision and
importance of a wound, always.
 Submit primary and claims
appropriately.
 Communicate with your patients and
explain about patient liabilities.

13.  Avoid copy pasting billing details in
your EHR as it creates “cloned” notes.
 Review and update information in your
EHR constantly.
 Finally, make use of the features your
EHR offers but don’t rely on them
completely.

14. Thank you !
Are you Billing right ? To be sure
contact MedicalBillingStar we offer Free
Claims Revenue Cycle Management
check-up
Visit us :
http://www.MedicalBillingStar.com