decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 11 (November)
Warning: OIG audit uncovers major problems with physicians’ POS selection
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Article Overview
This article discusses a Medicare-related OIG audit focused on physician place-of-service selection and why errors in claim filing can affect payment accuracy and overpayment risk. It is aimed at physicians, billing staff, coders, compliance personnel, and practice managers who handle professional claims and want to understand the audit findings, the broader compliance implications, and where official POS guidance can be found.
Why This Topic Matters
Place-of-service selection can materially affect reimbursement and overpayment exposure. The article explains why Medicare and its contractors scrutinize these claims and why practices need consistent internal processes for accurate claim submission.
What You Will Learn
- What the article says about OIG attention to place-of-service reporting
- Why POS selection matters for Medicare claim accuracy and payment
- Common operational reasons POS errors occur in physician practices
- Where the article points readers for official Medicare POS guidance
- General process safeguards practices can consider for claim preparation
Who Should Read This
- Physicians
- Billing staff
- Medical coders
- Compliance staff
- Practice managers
- Billing service vendors
Codes Discussed
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