Can Billing Data Alone Put a Wound Care Provider on an Investigator’s Radar?

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ArmandoMyers

Well-Known Member
23 March 2023
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Government agencies increasingly use data analytics to identify unusual Medicare billing patterns before receiving a complaint. How should wound care practices monitor their own billing data to spot statistical outliers before they become a compliance problem? Recent enforcement actions have highlighted rapid billing growth and unusually high per-claim amounts as potential signals.