Harris Health recognizes that accurate documentation, coding, and billing is a critical component to providing quality healthcare and obtaining proper reimbursement. Therefore, Harris Health is committed to timely billing and coding that accurately reflects the services ordered and performed and is in accordance with all federal and state laws and regulations.
INFORMATION TO KNOW
It is a violation of the Federal False Claims Act and the Texas Medicaid Fraud Prevention Act to knowingly submit claims for payment with false or untrue information. Both the federal and state false claims acts include provisions to protect whistleblowers from retaliation for reporting. Harris Health also protects whistleblowers from retaliation for reporting false claims. For more information see the following Harris Health policies:
- To document accurate, timely, and complete patient information regarding the services that were provided as part of a patient’s care and treatment.
- To only bill for services or items that are medically necessary and that are documented in a patient’s medical record. Harris Health will not knowingly submit for payment or reimbursement a claim that is false, fraudulent, or fictitious.
- To waive co-payments and deductibles in accordance with applicable laws, regulations, and Harris Health policies.
- To respond to all questions and complaints regarding a patient’s bill in a timely, direct, and honest manner.