tci Medicare Compliance & Reimbursement - 2004 Issue 21

Home Care: Home Care Braces For Crackdown On Doc COP

100% of physician care plan oversight claims denied in preliminary audit.The HHS Office of Inspector General is getting ready to undo the hard work home health agencies have put in on physician care plan oversight. The OIG promised in its fiscal year 2004 work plan to scrutinize the area of physician CPO, to determine whether the services were billed in accordance with Medicare regulations. Although the investigation focuses on physician services, it is HHAs and hospices that will pay the price if docs are afraid to bill for CPO, and therefore make fewer home care referrals.Many...

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