decisionhealth Newsletters, Part B News - 2014 Issue 3 (March)
Denials for G0372 and PMD prescriptions could catch OIG’s attention
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Article Overview
This article reviews Medicare denial trends for a physician service associated with power mobility device prescribing and compares those trends across specialties that bill the service most often. It discusses why the topic matters for compliance and audit risk, and places the discussion in the context of OIG oversight and Medicare data from multiple years. The piece is relevant to physicians, rehabilitation practices, neurology, general practice, coding, compliance, and audit-focused audiences.
Why This Topic Matters
It helps readers understand a compliance-sensitive Medicare service, how denial patterns vary by specialty, and why the issue may attract OIG scrutiny.
What You Will Learn
- How Medicare denial rates for a physician service tied to power mobility device prescribing have changed over time.
- Which specialties most commonly bill the service and how their denial patterns compare.
- Why the topic is associated with audit and compliance attention.
- How OIG oversight and Medicare data are used to frame the discussion.
Who Should Read This
- Physicians
- Medical coders
- Coding compliance staff
- Revenue cycle staff
- Auditors
- Rehabilitation practices
- Neurology practices
- Primary care practices
Codes Discussed
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