tci Medicare Compliance & Reimbursement - 2007 Issue 7

COMPLIANCE: Part B Payments 'Vulnerable To Fraud,' Watchdog Says

OIG is watching doctors' nursing home visits.Nursing homes could be hotbeds of inappropriate billings, warns one government agency.Physicians' Part B claims for services to patients who are in a nursing home but not during a Part A-covered stay are "particularly vulnerable to fraud and abuse," warns the HHS Office of Inspector General (OIG) in a new report (OEI-05-06-00240). Congress has asked the OIG to keep an eye on doctors billing for services that the nursing home may already be billing for separately.The OIG's new report ("Medicare Part B Services For Nursing Home Residents") doesn't draw...

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