tci Part B Insider - 2018 Issue 7

Compliance: Part B Lab Tests Remain a Fixture on the OIG Hit List

Plus: Medicare pay cuts for lab work may lead to reduced testing. Clinical tests are a necessary part of medicine, often leading to more informed diagnoses and better treatment plans. Moreover, most providers and labs are on the up-and-up, but the OIG continues to monitor improper claims related to lab work, looking at false claims and kickbacks. Background: Lab tests topped last year’s Comprehensive Error Rate Testing (CERT) report’s “Top 20 Service Types with Highest Improper Payments: Part B,” highlighted in Table D1 of the report. The data that came out in January showed that...

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