Fraud and Abuse for Providers

Tips for Protecting Your Practice

• Keep your provider ID number confidential and don't allow other providers to bill their services under your number.
• Keep prescription pads in a secured location.
• If someone else is authorized to bill for your services, have a process in place to make sure billing reflects services provided.
• Conduct internal audits to detect billing inaccuracies promptly.
• Establish a process to keep up with benefit and policy changes.
• Don't waive deductibles and/or coinsurance.
• Carefully review and document the medical necessity of services or supplies provided.