tci Part B Insider - 2016 Issue 14

Compliance: OIG Aims to Lower Medicare Pay for Procedures Performed in Hospital Outpatient Departments

Plus: EHR security issues remain a problem. The OIG makes scores of recommendations every year, advising Part B practices and payers to tighten up documentation, correct diagnosis errors, or implement other programs. On April 12, the agency released its latest Compendium of Unimplemented Recommendations, which shares the top actions that the OIG believes HHS should have taken to save money and improve quality—but in many cases, these suggestions fell on deaf ears. Case in point: During a previous review, OIG found that Medicare could save $15 billion between 2012 and 2017 by reducing outpatient department payment rates for...

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