Episode 60: Do Medical Policies Have a Negative Implication in Payment Integrity Efforts?

OIG Roundtable (Formerly Retro Fraud)

Episode 60: Do Medical Policies Have a Negative Implication in Payment Integrity Efforts?

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00:00 / 23:22

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Eric, Matt, Jaysen and Wade discuss a recent medical policy promulgated by a payor wherein certain medical procedures had a change in coverage. The implications of medical policy changes for coverage can have a huge effect on how a payment integrity team functions. Do medical policy decision makers speak to payment integrity teams?