ED Coding & Reimbursement Alert - 2009 Issue 28
INCIDENT TO: OIG Finds Alarming Error Rates Among Incident To Claims
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Article Overview
This article covers a Medicare compliance topic focused on incident-to billing and oversight. It summarizes an OIG report, CMS’s reaction to proposed claim-identification changes, and the broader concern about improper incident-to claims. It is relevant to coders, billing staff, compliance personnel, and practices that submit Medicare claims involving physician-directed services.
Why This Topic Matters
Incident-to billing can affect claim accuracy and compliance exposure for physician practices. The article highlights federal oversight concerns and a proposed reporting change that could impact workflow and claims reporting.
What You Will Learn
- The compliance issues raised by an OIG report on Medicare incident-to claims
- Why CMS responded differently to the OIG’s recommendations
- How claim-identification proposals can affect billing workflows and oversight
- Why incident-to services are a focus for practice compliance review
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Physician practices
- Practice managers
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