tci Medicare Compliance & Reimbursement - 2015 Issue 12

Compliance: Overbill And Risk Paybacks Down The Road

If your reimbursement seems too good to be true, it probably is. Two providers that were recently audited by the HHS Office of the Inspector General (OIG) didn’t seem to notice that they were paid more than double the reimbursement that they should have collected. However, you can rest assured the government will certainly notice the mistake if you overbill in your HCPCS code assignments. The case: The OIG launched an audit of aflibercept, a drug used to treat patients with age-related macular degeneration, and found that CGS Medicare paid $6 million for 1,414 line items for...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.