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Health care fraud and abuse : a physician's guide to compliance

Author: Hoyt W Torras
Publisher: Chicago, Ill. : AMA Press, ©2001.
Edition/Format:   Print book : EnglishView all editions and formats
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Document Type: Book
All Authors / Contributors: Hoyt W Torras
ISBN: 0899709788 9780899709789
OCLC Number: 45584064
Description: xii, 351 pages ; 28 cm
Contents: Introduction: health care fraud and abuse --
Examples of fraud and abuse --
Fraud and abuse statutes --
Antikickback legislation --
Stark self-referral legislation --
Entities involved in fraud and abuse investigations --
Medicare claims review and audits --
Medical necessity denials --
How to minimize risk of an audit --
CPT[TM] coding --
ICD-9 diagnosis coding --
Compliance programs: a way to minimize fraud and abuse liability --
Developing a compliance program --
Compliance efforts in smaller medical practices --
Actions of the Office of Inspector General --
How to request an advisory opinion --
AMA input: OIG compliance program guidance for individual and small group physician practices --
OIG compliance program guidance for individual and small group physician practices.
Responsibility: Hoyt Torras.

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