tci Part B Insider - 2004 Issue 43

Compliance: Goodies In Fee Schedule Could Leave You A Fat Target For OIG

Watch out for pitfalls in new demo project, PT provisionThe 2005 Physician Fee Schedule contained a few provisions intended to soften the blow of sharp cutbacks. But those consolation prizes could be booby-trapped.In particular, Medicare will pay $130 a day for a demonstration project in which physicians will ask chemotherapy patients about nausea, fatigue and pain. The Centers for Medicare & Medicaid Services has yet to issue billing details, but some experts are wary. CMS hasn't yet made clear what sort of documentation you'll have to produce to prove the doctor really asked the patient the required questions...

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