Compliance: OIG Finds 69 Percent Error Rate in New Outpatient Audit

Article Overview

This article summarizes an Office of Inspector General audit involving outpatient Medicare Part B claims processed by a MAC in Jurisdiction 2. It focuses on the scope of the audit, the error rate found, the financial impact of overpayments, and general compliance steps practices may use to monitor billing accuracy and outdated code use. The piece is relevant to billing staff, compliance teams, and outpatient practices that submit drug- and service-based claims.