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    Wiki LAB SAMPLING PAYMENT

    I will be working with a Lab that is offering to pay the providers that contract with them a sampling fee. I am hesitant about this because it seems to fall within the Anti-Kickback. Am I wrong? Thanks, Michelle Stevens CPCO, CPPM
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    Wiki Billing Audit

    How far back should a billing audit be performed? I feel like it ought to go as far as when the issue of the problem originated. Is that correct? What if it may be over 10 years? Or is there a cut off timeframe with the OIG? If I remember correctly there was no cut off, but I found OIG...
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    Wiki Timely Documentation (signature) within 90 days

    As stated in Chapter 2 of our Compliance studies, under Responding to detected offenses and developing corrective action initiatives, type of issues, bullet 2- states that medical records are to be signed/completed within 90 days. I can not find any reference to this statement. I have a...
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    Wiki Returned Refunds

    A medical group has sent patient refunds due to overpayments/credits on the accounts; however, the payments were sent back. I understand that we ought to document all actions, but what do we do at this point? I can't locate any federal or state guidelines on refunds that have been returned...
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