In an article published on July 13, 2023 in Healthcare Risk Management, Bob Wade provided insight into the importance of the medical record in supporting claims and how fraud and abuse issues can create false claims.

“You may have doctors who, especially because of the electronic medical records, are copy-pasting and bringing documentation forward in order to populate the medical record. But somebody needs to go through and validate that what is being input into the electronic medical record was actually happening on that day,” said Wade. “I’m seeing a lot of issues out there on that very point — the copying and pasting.”

Wade also cautions that fair market value for physician compensation can create issues: “If you have an inappropriate financial arrangement with a referral source, whether it’s the physician or otherwise, and you have knowledge of that, then that can create a false claim if you’re continuing to bill for the service without correcting the issue.”

To read the full article, click here.