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Feds Crack Down on Upcoding
By the time the late President Lyndon B. Johnson signed the law establishing Medicare and Medicaid in 1965, the health care community was already figuring out how to maximize its returns from these new programs designed to insure the elderly, poor, and disabled. Those proceeds, however, have been generated over the years in ways that violated Medicare rules, resulting in billions of dollars in overpayments that had to be repaid with interest. More recently, the use of electronic medical records has enhanced facilities’ ability to maximize those returns.
