tci Part B Insider - 2015 Issue 11

Compliance: OIG Revisits Recommendation to Pursue EHR Fraud

Plus: The government is leaning on CMS to collect more overpayments. When the OIG talks, not everyone listens, according to a new report. The OIG makes hundreds of recommendations each year, advising practices and carriers to tighten up documentation, correct their modifier use, or implement other programs. On March 16, the OIG released its Compendium of Unimplemented Recommendations, which revealed that Part B contractors, medical practices and facilities have ignored many OIG suggestions. Case in point: In 2013, the OIG found that about two percent of clinicians were responsible for collecting almost 25 percent of all Part B payments...

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