In generating prescriptions, records often include healthcare common procedure coding system (HCPCS) code that must match the device provided." Problems arise when someone thinks, well this other code pays a lot more. When a prescribing physician uses a different code then the O and P provider would use, the device won 't match and there for will not pass the audit. The orthotic and prosthetic provider can 't legally change the EMR. The physician needs to be contacted and an official request needs to be made for a change in code and an amendment to the prescription. All these steps take time, time the business is not receiving reimbursement. Some fraudulent situations are more serious. There a strict guidelines that people will choose to ignore or bend. A company or facility may potentially lose referrals if they are threatened with losing business because another company is OK breaking the rules and providing a different date of service, resulting in the insurance company double pay out on a …show more content…
Very clear and precise ethical rules have been worked out and codes of ethics are expected to be enforced. Individuals with certification are also expected to report fraud and inappropriate conduct from others in the community and field. "AOPA faces the problems of economic survival of its members. The Academy and the ABC respectively focus their attention upon professional standards of conduct and the creation of credentialing mechanics for quality assurance to the consumers and NAPOE faces challenges of basic and continuing education that is both relevant, consistent and of high