 | 1996 - 1112 pages
...necessarily constitute an improper billing practice.) (3) A pattern of claims for services which are not medically necessary or, if medically necessary, not to the extent rendered. For example, a battery of diagnostic tests are given when, based on the diagnosis, fewer tests were... | |
 | 1994 - 1576 pages
...practice.) §199.9 Office of the Secretary of Defense (3) A pattern of claims for services which are not medically necessary or, if medically necessary, not to the extent rendered. For example, a battery of diagnostic tests are Riven when, based on the diagnosis, fewer tests were... | |
 | United States. General Accounting Office - 1988 - 180 pages
...investigation list are subjected to additional review to determine if other areas of their practices need tobe examined. Carriers first try to explain the abnormal...rendering any specific services to individual patients"). Chapter 3 Carrier and Intermediary Medical Review Providers who have been identified for further review... | |
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Other types of abuse include, but are not limited to "excessive charges for services or supplies," "claims for services not medically necessary, or if medically necessary, not to the extent rendered... 