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Sharon Parsley, JD, MBA, CHC, CHRC contributes a monthly post on complianceofficer effectiveness for the YouCompli blog. Many people in our discipline love the slogan “compliance is everybody’s business.” Here, any overpayment from a governmental payer source must be returned within 60 days of its identification.
Providers may take documentation “short cuts” or feel overwhelmed with implementation of a new EMR (electronicmedicalrecord) system and clone or make documentation errors. If the payer, such as Medicare, performs an extrapolation, reducing each overpayment dollar through appeal can mean thousands less to pay back.
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