tci Medicare Compliance & Reimbursement - 2008 Issue 32

Compliance: OIG Finds 63-Percent Error Rate on Facet Joint Injections -- Here's How to Avoid Problems

Hint: Bilateral injection errors accounted for scores of issues. According to a Sept. 17 OIG report, practices that bill facet joint injections should start double-checking their claims. The OIG report, entitled Medicare Payments for Facet Joint Injection Services, states, "Sixty-three percent of facet joint injection services allowed by Medicare in 2006 did not meet Medicare program requirements, resulting in approximately $96 million in improper payments for physician services." Office-based errors: The report indicates that 71 percent of facet joint injections performed in physicians' offices contained errors, while only 51 percent of facility-based facet joint injections showed errors...

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