Outpatient Facility Coding Alert - 2012 Issue 6
Compliance: OIG Urges Physicians to Use 'Heightened Security' When Reassigning Medicare Payments
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Article Overview
This article covers an OIG compliance alert aimed at physicians and medical practices that reassign Medicare payments to third parties. It summarizes why reassignment arrangements can create compliance exposure, how a recent enforcement matter prompted the warning, and how CMS reenrollment and revalidation processes may help practices review existing arrangements. The piece is relevant to physicians, practice administrators, compliance staff, and anyone responsible for monitoring Medicare enrollment and billing oversight.
Why This Topic Matters
Reassignment arrangements can create compliance risk if billing under a physician’s name is not monitored. The article highlights why regular review of third-party billing activity and reassignment status matters for reducing exposure and improving enrollment oversight.
What You Will Learn
- Why Medicare payment reassignment can create compliance concerns
- How an OIG alert relates to monitoring claims submitted under a physician’s provider information
- Why reassignment review and reenrollment processes are important for practices
- What kinds of oversight issues can arise in third-party billing arrangements
Who Should Read This
- Physicians
- Medical practice administrators
- Compliance officers
- Billing managers
- Healthcare attorneys
- Medicare enrollment staff
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