Today in the news there was a flash across the screen concerning\u00a0 the arrest of providers for Medicare Fraud.\u00a0 Be aware of what constitutes fraud and what you can do to keep your practice ethical and legal.\u00a0 Fraud is when services are either not considered necessary because the diagnosis and patient’s condition do not require the type of treatment that you are billing for or services that are billed were not provided.\u00a0 The Medicare Population may not always have the best memory about the visits, so you need to protect yourself.\u00a0 One of the ways I would suggest is that you maintain your records accurately and obtain a signature each and every time you see a client.\u00a0 You can use a sign in sheet with removable labels so as not to compromise confidentiality. \u00a0 I would also recommend that you make sure\u00a0 clinical documentation backs up each and every visit.\u00a0 The documentation should include a note that confirms your diagnosis and prognosis on each and every visit.\u00a0 If Medicare comes knocking on your door you will be asked to produce this and because you are a Medicare participating provider you must comply.\u00a0\u00a0\u00a0\u00a0 Some of the things these providers that were arrested are clearly fraudulent and make it really bad for the rest of providers that are merely trying to make a living.\u00a0 So my advice to you is keep good records.\u00a0 Make sure that if you are billing for a service it was indeed provided and you have the documentation to support it.<\/p>\n
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Today in the news there was a flash across the screen concerning\u00a0 the arrest of providers for Medicare Fraud.\u00a0 Be […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[4,6],"tags":[],"class_list":["post-116","post","type-post","status-publish","format-standard","hentry","category-billing","category-legislative-and-new-processes"],"yoast_head":"\n