How doctors and hospitals have collected billions in questionable Medicare fees

Did you know that Medicare compares each doctors’ proportion of various types of office visits (new patient encounter, established patient, etc.) to determine if they conform to the national profile for all providers? If they do not conform to the typical percentages, the medical providers could be at higher risk for being audited and sanctioned for “upcoding”. This is the practice of charging patients more for the office visit than is merited based upon the documented medical treatment.Read More