Medical Economics February 20, 2025
Key Takeaways
- Billing and coding errors can lead to claim denials, audits, and legal penalties; regular audits and staff training are essential for compliance.
- Compliance with fraud and abuse laws like FCA, AKS, and Stark Law is crucial to avoid criminal charges and exclusion from government programs.
- HIPAA compliance is vital to protect patient information; practices should implement access controls and conduct regular security risk assessments.
- Medicare and Medicaid compliance requires strong documentation workflows and staying updated on CMS coding and billing changes.
- Effective RCM strategies, including regular audits and leveraging technology, enhance financial stability and operational efficiency in healthcare practices.
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