tci Part B Insider - 2004 Issue 19

Brace Yourself For OIG Crackdown On Doc CPO

The HHS Office of Inspector General promised in its fiscal year 2004 work plan to scrutinize physician claims for home health care plan oversight, and determine whether the services were billed in accordance with Medicare regulations. Since Jan. 1, 2001, docs have been able to bill G0179 -G0182 for certification, recertification and supervision of home health and hospice. The OIG became suspicious of CPO billing when expenditures for the services jumped from $15 million in 2000 to $41 million in 2001, an OIG spokesperson says. That 173 percent surge is "quite an increase," the OIG rep says. A...

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