Case: A compliance officer morphed into a whistleblower when hospital leaders ignored her warnings about widespread billing and coding abuses. Specifically, she sounded the alarm that the hospital was improperly appending modifiers -25, -59 and -XU to secure improper payments. It wasn’t just a small glitch. The modifiers were misused between 70 and 95 percent…
Fort Worth Hospital Settles Upcoding Charges for $3.3 Million
