Fraudulent billing? Trauma codes for elective procedures?

How do DPMs get away with billing trauma codes for elective procedures?

I've seen DPMs bill for a ORIF talo-tarsal dislocation on a pediatric flatfoot using an arthroereisis implant. Those same people then bill for a subtalar fusion using an arthroereisis implant in adults.

I've seen DPMs bill for both a TMT arthrodesis and ORIF of 1st TMT dislocation for a lapidus bunionectomy.

Now I hear DPMs are billing subchondroplasty of the talus as an ORIF of talar fracture.

When does it end? Who...

Fraudulent billing? Trauma codes for elective procedures?

Source: Student Doctor Network - June 22, 2017 Category: Universities & Medical Training Authors: Ankle Breaker Source Type: forums