I just went to the Kilo Diabetes Symposium in St. Louis and thougt I would be upset that they had a talk about health care reform. I am glad I heard it. The speaker was a jd/md named John Irwin from Ohio who put the fear of God in the entire audience.
He reports that one of the areas that Medicare deficits are going to be made up is from AUDITS. He reports that they will come in an review maybe 25 charts. If they find "issues" they can extrapolate that to your entire practice. The HEADHUNTERS/AUDITORS get to keep 12.5% of all the money they recover so they are very motivate to find problems.
Happy Sunday!
He especially warned about the use of templates. If you have cookie cutter looking notes, this is considered FRAUD and they can send you up the river or take your money.
I use templates and have been changing them as I go, but I am going to watch even more carefully.
IGNORANCE OF THE STANDARDS IS NOT AN EXCUSE. Can't blame the biller, the front desk, etc, it is all on our shoulders.
He gave several horror stories.
