tci Part B Insider - 2004 Issue 38

Compliance: OIG Scare Tactics Aim To Keep Your E/M Levels Down

Home health supervision caught in Catch-22 Is your billing company helping you upcode evaluation & management levels? Probably not, say experts, but that won't stop the HHS Office of Inspector General from thinking so. The OIG restarted its study on E/M levels, looking for overpayments among the $29 billion Med-icare paid in 2003. The OIG has also launched a separate audit of the relationships between billing service companies and doctors. The OIG's Office of Audit Services wants to understand the different relationships billing companies have with physicians' offices, and the impact these relationships may have on the doctors' billing...

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