tci Medicare Compliance & Reimbursement - 2008 Issue 1

Industry Notes: OIG Report Reflects On $43 Billion In Recoveries

Plus: Find out what the NPI Enumerator can -- and can't -- do The HHS Office of Inspector General (OIG) has released its Semiannual Report to Congress, covering its activities between April and September of 2007. In the report, the OIG notes that its savings and recoveries over the six-month period totaled more than $43 billion. For example, the OIG found that 64 percent of the surgical debridement services audited for service dates in 2004 did not meet Medicare requirements, resulting in $64 million in improper payments to debridement providers. Of those errors, 39 percent were billed with codes...

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