Overpayments
Incorrect use of Modifiers
Incorrect balance billing
Duplicate claims
Misuse of provider numbers
Unbundling
Patient Confidentiality
Routine Waiver of Co-payments
Discounts / Professional courtesy
Assumption Coding
Coding without proper documentation
- Check, Protect the privacy and security of health information
- Define standards for electronic submission
- Improve efficiency and effectiveness of health care system
- Security
- Privacy
- Transition & Code sets