In our latest episode, we debunk myths around documentation and fraud with Dr. Maelisa McCaffrey.
We discuss:
A recent article that is causing concern about whether submitting insurance claims before notes are complete constitutes fraud
Fraud vs. mistakes, and consequences for mistakes in billing
What constitutes fraud under the False Claims Act, with context from Eric Ström, HIPAA and mental health law attorney and practicing clinician
Whether there are rules about when notes are supposed to be completed
Maelisa’s research on whether “late” notes can impact audits or a fraud case
Claims vs. superbills and what provider obligations are with superbills
PCT’s training with Maelisa on How Auditors Think
Changing or amending notes, and what that looks like in practice
Doing notes on paper if you struggle with overthinking your notes
Just doing the documentation, and how you can always amend them later if needed
Why private practice isn’t for everyone, and that’s okay
How effective policies and procedures around documentation (and more) can help with hiring and retention for group practices