Create A Compliance Program For Physicians
Cardiologist, John R. McLean, was sentenced to eight years in prison a few years ago for falsifying medical records and implanting dozens of unnecessary coronary stents in patients. Many other doctors across the nation now sit behind bars, have been fined millions, and/or had their medical licenses revoked due to medically unnecessary procedures.
Medical Necessity matters. But how do you define what is medically necessary?
Doctors, compliance officers, coders, billers and government enforcement agencies all agree that Medical Necessity must exist before clinical services are provided, billed and reimbursed. But, many disagree on how to define Medical Necessity or how to determine if it existed for clinical services that were provided and reimbursed.
Watch this free, on-demand webinar, How To Communicate Medical Necessity To Your Physicians, to learn:
- How To Create a Compliance Program For Physicians
- Why Some Auditing and Monitoring Should be Done By Someone Who is Medically Trained
- Ways to Leverage Experts and Utilize Compliance Tools