Potential Overpayment Patterns: Non-Physician Assistant at Surgery
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Steve Nesnidal, MD, CPC, AHFI
Aug 15, 2024
Comments
Reviewing patterns of overpayment from providers who incorrectly select modifiers when billing for insurance.
Overutilized High-level Drug Testing: Small Fees, Large Overpayments
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Steve Nesnidal, MD, CPC, AHFI
- Nov 17, 2023
- Comments
Dr. Steve Nesnidal of Context 4 Healthcare, Inc. presented at the 2023 NHCAA Annual Training Conference on Overutilized High-level Drug Testing, focused on Small Fees with Large Overpayments. Dr. Nesnidal goes into depth about specific cases where aberrant providers intentionally billed a higher amount of the higher-level codes.
EHR systems can’t protect you from the False Claims Act
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John Danza
- Aug 11, 2017
- Comments
The recent Department of Justice (DOJ) $155 million False Claims Act settlement with eClinicalWorks highlights a problem that has existed in the EHR software industry for a long time. Any EHR system that attests to do everything for the integrated health system can’t possibly provide the highest possible level of all aspects of functionality. Some parts of the system will be concentrated upon while others will get just enough attention so the vendor can say they have the ...
