tci Medicare Compliance & Reimbursement - 2004 Issue 42

Fraud & Abuse: 9 Fraud Hotspots For 2005

Be warned: There are more OIG probes on the way.It's going to be a busy year for fraud enforcement, so providers had better be ready.According to its 2005 Work Plan, the HHS Office of Inspector General plans to investigate in 2005: whether Medicare improperly made payments to physicians while they were on duty at Veterans Administration hospitals. physicians billing for the professional and technical components of cardiography and echocardiography services. When a physician performs an interpretation separately, he/she should use the modifier -26 for professional services.  whether physicians who have been excluded from Medicare have wrongly...

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