Guillermo Beades and Phoebe Nelson Published in Medical Economics: “Understand the Audit Risks and Penalties from Some Cardiology Codes”

Frier Levitt attorneys Guillermo Beades and Phoebe Nelson published an article in Medical Economics titled, “Understand the Audit Risks and Penalties from Some Cardiology Codes.”

The Centers for Medicare & Medicaid Services (CMS) are intensifying their scrutiny of specific cardiology codes, with the focus revolving around CMS categorizing these services as “routine screenings” rather than recognizing them as surveillance tests. Despite Local Coverage Determinations (LCDs) governing these codes, Medicare contractors often misinterpret or disregard LCDs, placing physicians who perform these services at increased risk of medical audits, overpayment demands, and potential penalties due to what CMS perceives as excessive use of the codes.

In the article, Guillermo and Phoebe shed light on CMS oversight and preconceived notions, delve into provider challenges, and discuss ways to mitigate risks of audits and how to safeguard your practice.

Read the full article here: https://www.medicaleconomics.com/view/understand-the-audit-risks-and-penalties-from-some-cardiology-codes

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