tci Part B Insider - 2005 Issue 27

Carriers Should Crack Down On CPO, OIG Says

If your physicians are overseeing the care of home health patients, you could find the carriers looking over your shoulder in the wake of a new report.Two Texas physicians received $15,897 in wrongful reimbursement for 236 care plan oversight (CPO) services on nine claims, the HHS Office of Inspector General said in a new audit report (A-06-04-00083). The physicians shouldn't have received reimbursement for any of these services, because they didn't actually provide 230 of them and lacked supporting documentation for the remaining six, the OIG insisted.Physicians can bill for CPO (G0179-G0182) only once per patient...

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