Wednesday, August 17, 2011

Outpatient Services Is A Fancy Name For Foster Care

The same thing happens in child welfare but no one will speak upon it. Outpatient services is a fancy name for foster care and its false claims is nothing more than a revenue maximization scheme of the funding streams called Medicaid.

Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Highmark Medicare Servic...



The deficiencies in the 1,027 incorrect line items included:

(1) Incorrect units of service,

(2) Packaged services billed separately,

(3) Healthcare Common Procedure Coding System (HCPCS) codes that did not reflect the procedures performed,

(4) Unallowable services,

(5) Unlabeled use of a drug/biological,

(6) A lack of supporting documentation,

(7) A combination of incorrect units of service and incorrect HCPCS codes, and

(8) Incorrectly calculated payments.

See, sounds like foster care and no one in authority will do a damn thing about it.

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