Industry Notes: Apply For Accreditation To Collect For Imaging

Why This Topic Matters

These updates can affect reimbursement eligibility, compliance risk, and audit exposure for providers billing imaging, outpatient hospital services, and therapy-related claims. It also highlights how payer and federal oversight changes may influence documentation, accreditation, and billing review processes.

Article Sections

1. Imaging accreditation and UnitedHealthcare reimbursement

   This section discusses payer-related accreditation requirements for outpatient imaging providers and practices. It also references the organizations and general resources involved in the accreditation process.

2. OIG audit of California hospital outpatient claims

   This section summarizes an audit of high-dollar outpatient hospital claims and the types of billing issues identified. It also notes the financial impact and the scope of the review.

3. CMS fraud-fighting initiative and infusion therapy

   This section describes a CMS transmittal addressing fraud-prevention practices and coordination across contractors. It focuses on billing oversight trends related to infusion therapy.