Medicare payers use pre-pay audits to look for billing errors

02/4/2013 | American Medical News (free content)

Medicare auditors are targeting primary care physicians and specialists for prepayment audits of high-intensity patient office visits to look for billing errors. AAFP president-elect Reid Blackwelder, M.D., said these reviews create an additional administrative burden, lead to undercoding to avoid raising a red flag and could cause physicians to send more complex patient cases to a hospital emergency department.

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American Medical News (free content)

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