A V O I D ! 5. False Claims Act Violations
The False Claims Act prohibits: • Knowingly presenting, or causing to be presented a false claim for payment or approval; Examples: • Waiving deductibles or co-payments and not reporting to carriers • Up-coding for higher reimbursements • Down-coding based on payer type • AAPC Article: http://news.aapc.com/index.php/2014/04/undercoding-is-no-better-than-overcoding/
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