What is upcoding?

What Is Upcoding? “Upcoding” is a type of Medicare fraud. Physicians and hospitals use CPT codes to bill Medicare for procedures and services they perform. When hospitals “upcode” a procedure, they bill Medicare using a CPT code meant for a longer or more complex procedure than the one they actually performed. Upcoding is illegal and

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What Is Unbundling Fraud For Whistleblowers

Medicare fraud is a serious and growing problem that has led to the government losing billions of dollars every year, and whistleblowers are essential in the fight against it. Unbundling fraud is one of the most common types of Medicare fraud and whistleblowers can help to stop it. In this blog post, we’ll look at

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