Bad Coding: A Fine Line Between Error And FWA
![Monitoring Claims for Fraud-canstockphoto25652629](https://www.context4healthcare.com/images/default-source/default-album/canstockphoto25652629.jpg?sfvrsn=713c3acd_0)
Examining the difference between diagnosis codes that are applied correctly for reimbursements or was done with the intent to increase the amount they are paid. We review some of the more common coding errors that are typically identified.
Potential Overpayment Patterns: Non-Physician Assistant at Surgery
![PhysicianNotes_Cropped_1024x768](https://www.context4healthcare.com/images/default-source/blog-posts/physiciannotes_cropped_1024x768.jpg?sfvrsn=635532cd_0)
Reviewing patterns of overpayment from providers who incorrectly select modifiers when billing for insurance.
The Federal Hospice Fraud Problem in the United States
![DoctorwSeniorPatient_originalsize](https://www.context4healthcare.com/images/default-source/default-album/doctorwseniorpatient_originalsize.jpg?sfvrsn=73a331cd_0)
Addressing and diving into the issue of hospice fraud in the United States, specifically with claims submitted for those who don't qualify for hospice or those who didn't receive hospice.
Medicare Reference-based Pricing RAND Study
![Keyboard](https://www.context4healthcare.com/images/default-source/blog-posts/istock_000009317132smallfbde58fe8e946af285e3ff00004716c1.jpg?sfvrsn=864a32cd_0)
Using the RAND Corporation's newest study to understand payer questions involving Medicare Reference-based Pricing.
Overutilized High-level Drug Testing: Small Fees, Large Overpayments
![Thumbnail7DrSteve](https://www.context4healthcare.com/images/default-source/default-album/thumbnail7drsteve.png?sfvrsn=2cf237cd_0)
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.