Preventing Fraud, Abuse, and Waste: A Primer for Physical Therapists
The federal government and other payers have enacted laws, written regulations, and introduced policies to crack down on the prevalence of health care fraud, abuse, and waste. While the vast majority of physical therapists provide patients with appropriate services and submit proper claims for payment with accurate information, the payment system and regulatory environment is complex and lack of knowledge can put therapists at risk for billing errors that could be considered fraud, waste, or abuse. This self-directed reading course explains the difference between fraud, waste, and abuse and provides the information necessary to comply with relevant laws and regulations that affect payment. Topics covered include laws governing a PTs relationships with payers, referral sources, and patients, evidence-based practice and ethics/professionalism, and the basic elements of a compliance program.
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