tci Part B Insider - 2004 Issue 39

FRAUD & ABUSE: Are Your Billing Staff Presenting Place Of Service Accurately?

You could be reaping thousands you're not entitled to Warning: If you're not paying attention to the place where your services supposedly took place, then you could be receiving massive overpayments and drawing the feds' attention. The HHS Office of Inspector General is once again probing whether doctors who performed services in an outpatient hospital or ambulatory surgery center improperly said they performed the services in the office instead. Medicare pays more for services in the office setting than the facility setting, because of the assumption that doctors are covering overhead in the office. In a review of 100...

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