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AHA Coding Clinic® for HCPCS - 2001 Issue 4; FOR your INFORMATION

OIG to Look for consistency in hospital/physician coding

The Office of the Inspector General has released its FY 2002 Work Plan. As part of the office’s review, they plan to review the procedure coding of outpatient services billed by a hospital and a physician for the same service. The OIG reports that in previous review, they identified a 23% nationwide rate of inconsistency between the hospital outpatient department procedure coding and physician procedure coding for the same outpatient service. The review is expected to determine whether these coding differences continue and how they affect the Medicare Program. The OIG’s FY 2002 work plan is available...

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