May 2010


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UVM Flownet <[log in to unmask]>
Steve Knight <[log in to unmask]>
Thu, 27 May 2010 17:50:58 -0400
UVM Flownet <[log in to unmask]>
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Understand that there's a difference between performing an unnecessary study
and billing for one. If your billing department doesn't submit a claim for
any service it's not fraudulent per se. If you submit a claim for a
bilateral venous study because somebody has knee pain on one side after a
fall then the argument could be made that you ran up the bill deliberately
and filed a false claim.
So you can protect the institution by doing whatever they ask for in the ED
as long as you don't try to get paid for it. Handing out free health care is
problematic as well but that's another whole discussion. You need to get the
bean counters to sit down with the head of the ER, a lawyer and your head of
billing if you want to make sure everybody is on the correct side.

Personally, I think this kind of attitude (the one held by the ER doc's) is
what has driven the health care system over the brink of affordability. Why
not just put everybody into an MRI while they're in the waiting room? It
would save a lot of time.

Good luck with all that.

On Thu, May 27, 2010 at 4:25 PM, Phil White <[log in to unmask]> wrote:

> Dear FLO-
> Can anyone help me with specific rules regarding the responsibility of a
> vascular technologist to make sure inappropriate exams are not billed to
> Medicare or other insurers?
> Specifically, the ED department has stated and that they will order a
> Venous
> study on everyone who comes to the ED with a leg or toe complaint, so they
> do not miss a DVT.  This has been in effect for quite some time and the
> increase in venous studies have doubled.  We have all experienced how
> frustrating it is to be called in for silly stuff but now it kick up to a
> new level.
> I feel this is entering into the bizarre world and there is no end to it
> except to explain to them this is fraudulent.
> Thanks
> Phil White BS RVT
> To unsubscribe or search other topics on UVM Flownet link to:
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Steve Knight BSc RVT RDCS
Specialists In Ultrasound, Inc.

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