can you alter a medical super bill by adding dx after the patient leaves to support paymeny of labs ordered?
Question:
Answers:
if in doubt contact the state licensing board, they should be able to tell you if it is legal or not.
Other Answers:
Sounds very unethical and malpractice to me.
sounds like a scam to me
yOU SHOULD PROBABLY ASK THE STATE MEDICAL BOARD THIS QUESTION.
There is such a thing as "whistle blower" law, that will pay you a portion of the penalties collocted from medical persons fraudulent billing. It's rather serious and a very steep penalty is attached. The person who "blows the whistle" is paid, as many would never do so, fearing retribution and loss of pay. SCREAM LOUD!
I am not sure that this is illegal. All medical bills are paid by diagnosis codes. I see nothing wrong with adding the code to the bill after the tests have been ordered and done..it is a matter of paper work completion. HOWEVER, if additional tests and codes are added AFTER the blood draw then, yes, it is fraud. If you are doing this then you are a part of the fraud. I would make sure that you know what is wrong and what is part of your job and what is legal and ethical.
Source(s):
Quality Management Nurse for a health insurance company
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