In the April 26th, 2022 issue of The Medical Republic’s Money & Medicine newsletter, Dr Margaret Faux discusses the questions of whether a submitted claim will be paid or not, and if paid, whether the doctor was entitled to that payment. The doctors in Margaret’s research commonly equated payment with compliance, holding a strong belief that if a claim was paid it must be right. However, the evidence makes clear they are sorely mistaken.
“Medicare should reject incorrect claims on the spot. Instead the only way to learn is the hard way. ” Dr. Margaret Faux
About the Author:
Dr Margaret Faux is a health system administrator, lawyer and registered nurse with a PhD in Medicare compliance, and is the CEO of AIMAC, which offers courses and explainers on legally correct Medicare billing.