tci Part B Insider - 2015 Issue 20

Compliance: OIG: Just 6 Line Items Caused $1.7 Million Overbilling

Pay special attention to the codes you assign to drugs and biologicals. If you got a check for an extra $1.7 million, you’d probably notice, right? Two providers that the OIG recently audited didn’t seem to sound any alarms when they each collected half of that amount, but the government certainly noticed the mistake—and the OIG is making it clear that you should double and triple check your HCPCS code assignments. The case: The OIG launched an audit of aflibercept, a drug used to treat patients with age-related macular degeneration, and found that CGS Medicare...

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