Welcome to the Spring issue of “Compass,” Welcome to the spring issue of “Compass,” the Billing Compliance newsletter. This newsletter periodically informs clinical faculty, house staff, and other University personnel about current issues related to professional fee billing. Billing Assistance Available The Office for Billing Compliance is available for education, guidance, clarification, and assistance on billing practices. The office provides instructions in documentation standards and guidance in billing policies and procedures. Please feel free to share your thoughts or concerns with me or with any member of the compliance staff. We can be reached at 305-3842. Billing Compliance Hotline 305-7739 (7-7739) Sincerely, Robert M. Lewy, M.D. Senior Associate Dean for Academic Appointments and Regulatory Compliance

Contents Model Compliance Plan for Physician Practices Concuurent Care Web based Education Program Empire Blue Cross Blue Shield Emphasizes Correct Billing Patterns Government Audits its Contractors If a Government Agent Wants to Talk to You Payment Error Prevention Program (PEPP) Comparative Performance Reports HCFA Acknowledges Need for Refinement of E&M Guidelines Health Care Fraud and Abuse Injections provided in an Office Setting Professional Medical Coding Course to be Offered Education Required to Reduce Errors Expanded Scope for Medicaid Fraud Control Units