decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 7 (July)
Medicare compliance: Mind your location reporting as OIG targets place-of-service coding
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Article Overview
This premium article examines Medicare compliance issues related to place-of-service reporting when procedures are performed in facility settings. It focuses on OIG findings, CMS response, MAC auditing activity, and operational checks such as billing software settings and documentation review. The piece is aimed at billing staff, coders, compliance personnel, and practice managers who want to reduce risk from place-of-service miscoding.
Why This Topic Matters
Place-of-service errors can lead to improper Medicare payments and increased audit exposure. Understanding the compliance concerns discussed in this article helps practices strengthen billing controls and reduce the risk of overpayments or false claims concerns.
What You Will Learn
- How Medicare place-of-service reporting affects reimbursement and compliance risk
- Why OIG attention to location coding matters for physician claims
- What operational controls practices should review in billing workflows
- How billing software and documentation checks can help reduce miscoding risk
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance officers
- Physician office administrators
Codes Discussed
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